Optimal positioning of the DVR plate in distal radius fractures: a cadaveric examination of a referencing technique.

INTRODUCTION

Volar locking plates have revolutionised the treatment of distal radius fractures but complications are not uncommon. We present a cadaveric study and a technical tip to assist in the accurate and reproducible placement of one such plate.

STUDY: We placed 25-g needles in the distal radioulnar joint and radiocarpal joint and measured the distance from these needles to a DVR plate in its optimal position. This distance measured 5mm, corresponding to the width of the depth gauge handle. Placing this next to needles in these joints can help pre-plan the most distal and ulnar extent of the plate allowing for reproducible optimal positioning of the DVR plate.

TECHNIQUE: The technique developed uses the existing kit and is simple and easy to build into one's existing fixation technique.