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Use of Volar Plate for Indirect Coronal Plane Reduction in an Intra-Articular Distal Radius Fracture

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Arun Aneha, H. Randy Beard, Eben Carroll, T. David Luo, Alejandro Marquez-Lara

The goal of surgical fixation of intra-articular distal radius fractures is to restore coronal and sagittal plane alignment, rotation, and angulation. This video highlights a reproducible technique for restoring coronal plane alignment by leveraging the volar locking plate in an indirect reduction maneuver. After insertion of the distal row of locking screws, freer elevators are used to translate the proximal end of the plate in an ulnar to radial direction, which indirectly reduces the distal row in the ulnar direction, thereby reducing the distal radioulnar joint. Lastly, the remaining proximal-most diaphyseal screw is applied to secure the coronal plane reduction.