Use of a Large Tenaculum Clamp as a Reduction Technique for Treatment of Distal Radius Fractures

Henry M. Fox, Austin R. Thompson, Omar Nazir, Adam Mirarchi

Research output: Contribution to journalArticle

Abstract

Distal radius fractures are common upper extremity injuries requiring surgical treatment. In the context of management with a volar locking plate (VLP), a number of described techniques assist with restoration of individual anatomical parameters such as radial length, volar tilt, and articular congruity. We present a surgical technique that utilizes a large tenaculum bone clamp to provide an efficacious reduction in several planes. With anteroposterior compression, the clamp enables volar translation of the distal fracture fragment. This compression also decreases the interval between the distal portion of the VLP and the fracture fragments. With a rotational force, the clamp can restore volar tilt of the articular surface. By positioning the tines of the clamp across the fracture in the coronal plane, a clamping force can correct medial or lateral translation of the distal fracture fragment. Proper reduction substantially minimizes complications such as abrasion or rupture of the flexor tendons along the VLP.

Original languageEnglish (US)
JournalJournal of Hand Surgery
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Keywords

  • Distal radius fracture
  • large tenaculum clamp
  • radial inclination
  • volar locking plate
  • volar tilt

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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