Minimally invasive fracture surgery

A 34-year-old male fell while snowboarding and landed on his outstretched left upper extremity.

Radiographs at a local hospital revealed a left-sided unstable distal radius fracture with articular extension and dorsal comminution. A fracture splint was placed and he was referred to us for definitive management.

Open Reduction and Internal Fixation (ORIF) was performed with placement of a volar locking plate and screws and indirect reduction of the dorsal comminution.

He returned for regular follow-up and healed uneventfully, and at 6 months he presented with excellent results including a healed distal radius fracture in excellent alignment, full range of motion and resolution of pain and returned to all pre-injury activities and sports.

  • Figure A, B

    Figure A, B

    (A) Anteroposterior (AP) and lateral injury radiographs revealing an unstable left-sided distal radius fracture with art icular extension and dorsal comminution, loss of volar tilt and radial inclination and height.

    (B) CT scan further delineating fracture pattern.


  • Figure C, D

    Figure C, D

    (C) 3D CT reconstruction scan image.

    (D) Postoperative AP and lateral radiographs at 6 months illustrating a healed distal radius fracture in excellent alignment.



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David L. Helfet, MD

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New York Fracture Care

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David L. Helfet, MD 

Dean G. Lorich, MD

David S. Wellman, MD