External Fixation About the Wrist and the Forearm

  • Cyril Mauffrey
  • David Seligson
  • Jonathan Yerasimides


Fractures of the forearm and wrist are usually treated with direct osteosynthesis – plates, pins, and screws. These fractures and dislocation are important but unimportant. They do not cause loss of life. Patients with major, life-threatening injuries need life-saving treatments first and intricate limb repair later. The damage control strategy facilitates staged repair. A complex trans-scaphoid perilunate fracture dislocation with a dorsal marginal fracture of the distal radius is not well repaired while the patient’s life is at risk from a high-grade bleeding liver laceration. Even in straightforward injures, like both bone forearm fractures it is a useful option to stage repair with external fixation for “traveling traction” followed by planning internal fixation when the forearm bones are at length and the swelling has subsided.


Distal Radius External Fixation Distal Radius Fracture Index Metacarpal Unstable Distal Radius Fracture 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Cyril Mauffrey
    • 1
  • David Seligson
    • 1
  • Jonathan Yerasimides
    • 1
  1. 1.Department of OrthopaedicsUniversity Hospital LouisvilleLouisvilleUSA

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