{"id":540,"date":"2026-04-08T03:12:13","date_gmt":"2026-04-08T03:12:13","guid":{"rendered":"https:\/\/www.upperlimb.com\/research\/?p=540"},"modified":"2026-04-08T03:12:14","modified_gmt":"2026-04-08T03:12:14","slug":"arthroscopic-assisted-distal-radius-fracture-fixation-for-dorsoulnar-corner-fragments-using-a-locked-hooked-kirschner-wire-technique","status":"publish","type":"post","link":"http:\/\/www.upperlimb.com\/research\/arthroscopic-assisted-distal-radius-fracture-fixation-for-dorsoulnar-corner-fragments-using-a-locked-hooked-kirschner-wire-technique\/","title":{"rendered":"Arthroscopic-assisted Distal Radius Fracture Fixation for Dorsoulnar Corner Fragments Using a Locked, Hooked Kirschner-Wire Technique"},"content":{"rendered":"\n<p><strong>Authors:<\/strong> Mark Ross, Matthew J. White, Nicholas Smith, <br><strong>Publication Date:<\/strong> 7th November, 2023<br><strong>Journal:<\/strong> Journal of Wrist Surgery<br><strong>Article link:<\/strong> <a href=\"https:\/\/www.thieme-connect.de\/products\/ejournals\/abstract\/10.1055\/s-0043-1776115\">https:\/\/www.thieme-connect.de\/products\/ejournals\/abstract\/10.1055\/s-0043-1776115<\/a><\/p>\n\n\n\n<p><strong>Abstract<\/strong><br><br>Background &#8211; Distal 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.<\/p>\n\n\n\n<p>Description of Technique &#8211; In 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.<\/p>\n\n\n\n<p>Materials and Methods &#8211; We 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.<\/p>\n\n\n\n<p>Results &#8211; Our 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.<\/p>\n\n\n\n<p>Conclusions &#8211; Arthroscopic-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.<br><\/p>\n\n\n\n<p><br><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors: Mark Ross, Matthew J. White, Nicholas Smith, Publication Date: 7th November, 2023Journal: Journal of Wrist SurgeryArticle link: https:\/\/www.thieme-connect.de\/products\/ejournals\/abstract\/10.1055\/s-0043-1776115 Abstract Background &#8211; Distal 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 [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9,10,8,7,6],"class_list":["post-540","post","type-post","status-publish","format-standard","hentry","category-recent-publications","tag-arthroscopic","tag-dorsoulnar-corner","tag-fracture","tag-radius","tag-wrist"],"_links":{"self":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/comments?post=540"}],"version-history":[{"count":1,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/540\/revisions"}],"predecessor-version":[{"id":541,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/posts\/540\/revisions\/541"}],"wp:attachment":[{"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/media?parent=540"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/categories?post=540"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.upperlimb.com\/research\/wp-json\/wp\/v2\/tags?post=540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}