Chirurgische Praxis Alstertal Heegbarg 14 22391 Hamburg Tel: +49 (0) 40 602 30 06
 

Broken wrist – broken Radius- Radius fracture – fracture distal radius – surgical outpatient – ambulatory stabilization with titanium plate – without general anesthesia

Handsurgeon Dr. Stefan Peters

Hand Surgery and Surgical Practice Alstertal Tel +49-(0)40-6023006 / 7  Email cpa-pb@web.de

Here you will be informed about the most common fracture in humans. The distal radius fracture. Fracture of the radius at the wrist.

Info

Typische Plattenlage bei operativ versorgter distaler Radiusfraktur

Typical situation with titanium plate at the distal Radius

Beispiel Titanplatte bei distaler Radiusfraktur

Typical Titanium Plate (coin for measurement purposes)

 

Stumble, Tumble, and trying to stabilize the impact at the ground with

the hands, who does not know that.

This is also the reason for the frequency of the injury. Commonly is called a wrist fracture, more precisely a Fracture of the Radiusbone in the forearm near the wrist is meant. It requires no special force, unfortunately, a fall is often able to cause this Injury, particularly in the elderly.
Typical signs are pain, deformity in the wrist, swelling and the widespread unavailability of using the hand.

Therapy

OPERATIONAL
In recent years, the surgical treatment of these fracture form has been  largely established.
Advantages:
The patient is able to use the arm  a few days after OP, no cast necessary. Through the internal stabilization with a plate, the patient is free of pain already 2 to 3 days after the operation! (Due to the stable supply of a titanium plate in combination with locking screws micro-movements in the fracture gap can be prevented , micro-movements are the main cause of pain)
In addition to improving the quality of life through the OP another advantage through the surgical treatment is achieving ideal repositioning, the bone can heal in his native shape. Possible long-term consequences are very unlikely. The combination of outpatient surgery with local anesthesia (subaxillary plexus) in the armpit is particularly suitable for the elderly, no hospital stay necessary. There is also for elder Patients no limit for getting operated, because the burden considers the whole organism within narrow limits.
From extraordinary importance is the recovery of the usability of the arm immediately after the operation. This means: stand-alone home management and supply is generally not a problem, the quality of life is much better.
One can say: “The OP without anesthetic risk, carried out for example in subaxillary Plexus, improves quality of life and self-sufficiency immediately and significantly.”

Click here for a movie. Here a patient demonstrated 1 week after the outpatient surgery by Dr. Peters, the extensive restoration of function.

Potential Disadvantages:
As with any surgery,  complications may occur with this operation. However, these are rare and usually not serious. The surgical procedure is standardized. Some patients think about  plate removal after healing as negative. In fact: The plate must not be removed, but it can! If the patient  has no problems, the plate can remain. We remove the plates at least  in app. 25% of all operated.

Non-operational
Of course, a conservative, not operative treatment, means cast, is also possible, even so the fracture will heal. This means 4 to 6 weeks cast immobilization associated with a subsequent, longer rehabilitation period. Also pain, although reduced by the immobilization, often occurs for some time yet.

Timing of surgery:
Mnemonic: no hurry. (Exceptions: strongly shifted fractures, open fractures, fractures with associated injuries, with nerve injuries … please, if in doubt , seek for immediate medical attention.)
Even after 10 to 14 days, such a fracture can be undergo surgical stabilization. However, the faster surgery, the faster back in order. As a matter of fact, the emergency treatment often consists after X Ray diagnosis immobilization of the forearm with cast. And nothing else. The OP will be scheduled for the next few days.
Conclusion: You can consult us with your fracture , therefore, we will advise you. Normally, we establish surgical treatment  within 3 business days. Sometimes, we operate same  day.

Operating room

OP will be done in subaxillary plexus or general anesthesia. The fracture will be stabilized with (titanium) plates / screws / wires. We use “Stryker” Equipment

Click here for a detailed OP description

what’s next

When operation is finished you are able to leave the practice. 2 to 3 days later,  usually the cast can be removed.  The hand is almost without pain usable again and physiotherapy can begin. After about 10 days the sutures are removed. In general, the treatment is completed with an X-ray control after about 4 weeks.

Disclaimer Info Pages

 Dear Patient, this page is made to inform you and provides essential information about medical issues.

We have published this page in good faith and based on our years of experience and  latest scientific findings.

Of course, a guarantee for  correctness and completeness can not be given in the rapidly-developing field of medicine. Even other doctors may disagree. 

However, we are convinced: You will be informed  useful and responsible. Nevertheless, we encourage you to gather information  also from different sources.

 
 
 

  • Dr. med. Stefan Peters
    Handsurgeon
    Trauma Surgery
    General Surgeon

    Dr. med. Stephan Berg
    Orthopedics
    General Surgeon
    Trauma Surgery

  • Hours of Service

    Monday
    8:30–11:30 + 16:00–17:30
    Tuesday
    8:30–11:30 + 16:00–17:30
    Wednesday
    8:30–11:30
    Thursday
    8:30–11:30 + 16:00–17:30
    Friday
    8:30–11:30

    fresh accidents
    (the same day):

    Monday to Friday 8:00–18:00 clock

    … and by appointment.

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