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Nach entsprechender Diagnostik mithilfe von nativradiologischen und meist computertomographischen bildgebenden Untersuchungen f\u00e4llt die Entscheidung zur konservativen oder zur operativen Therapie. Ist die Indikation zur operativen Versorgung gegeben, stehen diverse M\u00f6glichkeiten der Reposition und Fixation zur Verf\u00fcgung. Das Spektrum reicht von geschlossenen \u00fcber offene Verfahren bis hin zur unterst\u00fctzenden begleitenden Arthroskopie. Eine entsprechende pr\u00e4operative Aufkl\u00e4rung der PatientInnen \u00fcber den Eingriff sowie die geplante Nachbehandlung ist essenziell. Ziel der Versorgung ist die Wiederherstellung der Handgelenkfunktion unter Erhalt von Beweglichkeit und Kraft bei niedrigem Komplikationsrisiko. Allen operativen Verfahren ist das Prinzip der Reposition zur Wiederherstellung der anatomischen Verh\u00e4ltnisse und anschlie\u00dfender Fixation gemeinsam. Als geschlossene Verfahren stehen die Fixation mit Kirschner-Dr\u00e4hten sowie der Aufbau eines Fixateur externe zur Verf\u00fcgung. Die palmare winkelstabile Plattenosteosynthese hat sich in den letzten Jahren als Methode der Wahl f\u00fcr einen Gro\u00dfteil der zu versorgenden Frakturen etabliert. F\u00fcr spezielle Frakturmuster und zur Behandlung von Begleitverletzungen kann eine arthroskopische Unterst\u00fctzung indiziert sein. Ein einheitlicher Konsensus \u00fcber die beste Verfahrenswahl besteht nicht. In diesem Beitrag werden die m\u00f6glichen Verfahren, einschlie\u00dflich ihrer Zug\u00e4nge, Fixationstechniken und spezifischer Nachbehandlung, beleuchtet.<\/jats:p>","DOI":"10.1007\/s00113-024-01429-x","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T17:02:24Z","timestamp":1713891744000},"page":"419-429","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Grundprinzipien der operativen Versorgung der distalen Radiusfraktur","Basic principles of surgical treatment of distal radius fractures"],"prefix":"10.1007","volume":"127","author":[{"given":"Ulrike","family":"Seeher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Bode","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Arora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"1429_CR1","first-page":"e36558","volume":"15","author":"S Abdullah","year":"2023","unstructured":"Abdullah\u00a0S, Soh\u00a0EZF, Ngiam\u00a0CJ, Sapuan\u00a0J (2023) A Prospective Study Comparing the Infection Rate Between Buried vs Exposed Kirschner Wires in Hand and Wrist Fixations. 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