Dorsal Barton Fracture of the Radius

Master the surgical treatment of dorsal Barton fractures of the radius, which present joint displacement and require stabilization with a plate through a dorsal approach. This training offers a practical immersion in the reduction technique, surgical access, implant selection, and fixation, aiming to restore the anatomy and function of the wrist, allowing for early mobility in the postoperative period, especially in elderly patients.

Training Focus:

• Surgical treatment of dorsal Barton fractures of the radius.
• Indirect reduction technique.
• Surgical access and implant selection.
• Fixation to restore the anatomy and function of the wrist.
• Early mobility in the postoperative period.

Detailed Content:

• Surgical Assessment and Access: The training begins with radiographic assessment for planning the reduction and implant. It covers the marking of the access over the Lister tubercle, identification of the muscle compartments, and retraction of tendons to expose the fracture.
• Implant Selection and Reduction: The exploration of the styloid region is presented to identify comminution. The course recommends delicate implants to avoid tendon irritation. The indirect reduction technique is demonstrated, using a proximal screw to reduce the fragment through the plate, with traction maneuvers if necessary.
• Fixation and Checks: After the main plate, the training teaches how to use a second low-profile plate for highlighted dorsal fragments, aiming to restore the joint area. Checks are taught to ensure that no tendon is under the plate and that the holes do not violate the joint.
• Closure and Results: The plates are positioned against the bone, ensuring free tendons. The training covers the assessment of reduction in terms of radial length, angulation, and inclination, and the immediate release of mobility in elderly patients post-operatively. The closure of the skin concludes the procedure.

Included Material:

• Detailed PDF: Covers the initial assessment, surgical access, exploration and selection of the implant, indirect reduction, fixation of additional fragments, checks, final assessment, and closure. It also includes a practical summary of the procedure with the key points.

Enhance your wrist surgery skills. Enroll now and master the techniques for treating dorsal Barton fractures, ensuring anatomical restoration and early mobility for your patients.