Weber Clamp Dorsal Compression Technique for Distal Radius Fracture Open Reduction and Internal Fixation With Case Series.

Open reduction and internal fixation (ORIF) of distal radius fractures (DRF) is a common procedure performed by hand surgeons. Complications include, but are not limited to, failure/loss of reduction, improper positioning of hardware, and nerve or tendon injury. Although uncommon, these risks should be considered when choosing a surgical technique. In this article, we present a novel dorsal compression reduction technique (DCRT) using a Weber clamp and surgical towel for ORIF of DRFs. The DCRT maintains efficacy and efficiency and improves safety by minimizing the risks of penetrating skin or fracturing bone during reduction due to its broad distribution of compression forces. A single surgeon retrospective case series was performed and demonstrated appropriate reduction of acute fractures. Subsequent fracture healing was demonstrated without complications. The DCRT provides a promising DRF reduction technique that is safe, easily reproducible, and effective. This technique should be added to all hand surgeons' repertoires as a surgical option for properly indicated patients.