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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 10, 1271-1275.
doi: 10.1302/0301-620X.90B10.21293  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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A revolution in the management of fractures of the distal radius?

N. D. Downing, FRCS, (Trauma & Orth), Consultant Hand and Orthopaedic Surgeon1; and A. Karantana, MRCS, Specialist Registrar1

1 Nottingham University Hospitals NHS Trust, Queen’s Medical Centre Campus, Nottingham NG7 2UH, UK.

Correspondence should be sent to Mr N. D. Downing; e-mail: nicholas.downing{at}nuh.nhs.uk

The recent development of locking-plate technology has led to a potential revolution in the management of fractures of the distal radius. This review examines the evidence for pursuing anatomical restoration of the distal radius and the possible advantages and pitfalls of using volar locking plates to achieve this goal. The available evidence for adopting volar locking plates is presented and a number of important and, as yet unanswered, questions are highlighted.




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