{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:37:49Z","timestamp":1773218269986,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Distal radius fractures with dorso-ulnar corner fragments (DUC) pose a surgical challenge due to limited visualization and the risk of hardware prominence. Traditional approaches often result in inadequate reduction and fixation, leading to suboptimal clinical outcomes.<\/jats:p><jats:p>\n          Description of Technique\u2003In this study, we introduce an arthroscopic-assisted approach for the fixation of distal radius fractures with DUC fragments. The technique utilizes locked, hooked K-wires to provide a low-profile dorsal capturing mechanism. We outline the step-by-step procedure, which includes pre-operative planning, volar plate application, and arthroscopic reduction of DUC fragments.<\/jats:p><jats:p>\n          Materials and Methods\u2003We applied this technique to a 60-year-old female patient with an unstable intra-articular distal radius fracture and a DUC fragment. Closed reduction was initially attempted, followed by arthroscopic-assisted reduction and internal fixation using the locked, hooked K-wire technique.<\/jats:p><jats:p>\n          Results\u2003Our technique has demonstrated its ability to withstand early movement rehabilitation protocols without fixation loss, enabling early mobilization. A custom thermoplastic splint was worn for 6 weeks, with favorable supination\/pronation and wrist flexion\/extension outcomes at clinical review.<\/jats:p><jats:p>\n          Conclusions\u2003Arthroscopic-assisted fixation with locked, hooked K-wires offers a reliable solution for accurately reducing challenging DUC fragments in distal radius fractures. This approach complements standard distal radius fixation systems, providing a low-profile dorsal capturing mechanism and addressing the issue of hardware prominence, ultimately improving clinical outcomes.<\/jats:p>","DOI":"10.1055\/s-0043-1776115","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:25:58Z","timestamp":1699403158000},"page":"075-081","source":"Crossref","is-referenced-by-count":1,"title":["Arthroscopic-assisted Distal Radius Fracture Fixation for Dorsoulnar Corner Fragments Using a Locked, Hooked Kirschner-Wire Technique"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4624-787X","authenticated-orcid":false,"given":"Mark","family":"Ross","sequence":"additional","affiliation":[{"name":"Brisbane Hand and Upper Limb Research Institute, Brisbane, Queensland, Australia"},{"name":"Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia"},{"name":"Faculty of Medicine, University of Queensland, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"White","sequence":"additional","affiliation":[{"name":"Macquarie Hand Unit, Suite 403 Macquarie University Clinic, 2 Technology Place, Macquarie University Hospital, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Smith","sequence":"additional","affiliation":[{"name":"Macquarie Hand Unit, Suite 403 Macquarie University Clinic, 2 Technology Place, Macquarie University Hospital, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"issue":"383","key":"ref1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00003086-200102000-00006","article-title":"The anatomy of the ligaments of the wrist and distal radioulnar joints","author":"R A Berger","year":"2001","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/j.jhsa.2011.07.014","article-title":"Ligament contribution to patterns of articular fractures of the distal radius","volume":"36","author":"D G Mandziak","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1055\/s-0033-1355440","article-title":"Ligament origins are preserved in distal radial intraarticular two-part fractures: a computed tomography-based study","volume":"2","author":"G I Bain","year":"2013","journal-title":"J Wrist Surg"},{"key":"ref4","first-page":"27","article-title":"Distal radius fractures: strategic alternatives to volar plate fixation","volume":"63","author":"C J Dy","year":"2014","journal-title":"Instr Course 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Patrick","year":"2020","journal-title":"J Orthop Trauma"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"361.e1","DOI":"10.1016\/j.jhsa.2019.09.001","article-title":"Integrated compression screw stabilization of the dorsal lunate facet in intra-articular distal radius fractures","volume":"45","author":"D S Ruch","year":"2020","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"394.e1","DOI":"10.1016\/j.jhsa.2021.09.002","article-title":"Comminuted dorsal ulnar fragment in distal radius fractures treated using the integrated compression screw with a mini-plate","volume":"47","author":"S Sakamoto","year":"2022","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.jhsa.2005.12.017","article-title":"Biomechanical stability of a fixed-angle volar plate versus fragment-specific fixation system: cyclic testing in a C2-type distal radius cadaver fracture model","volume":"31","author":"K F Taylor","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref16","first-page":"161","article-title":"Minimally Invasive fixation with dorsal suspension button and volar plate in distal radius fractures with dorsal die punch fragments: a preliminary study","volume":"12","author":"J I Mir\u00f3","year":"2022","journal-title":"J Wrist Surg"},{"key":"ref17","volume-title":"Atlas of Distal Radius Fractures","author":"F Del Pi\u00f1al","year":"2018"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1055\/s-0039-1698452","article-title":"The watershed line of the distal radius: cadaveric and imaging study of anatomical landmarks","volume":"9","author":"M Bergsma","year":"2020","journal-title":"J Wrist Surg"},{"issue":"10","key":"ref19","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1016\/j.jhsa.2011.07.021","article-title":"Technical tips for (dry) arthroscopic reduction and 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