J Korean Soc Surg Hand.  2015 Jun;20(2):72-76. 10.12790/jkssh.2015.20.2.72.

Surgical Indications for Distal Radius Fractures

  • 1Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. ljhos69@naver.com


In determining the treatment plan of distal radius fractures, the fracture type, stability, age, activity of patient may be concerned and radiologic parameters such as radial length, dorsal and volar tilt, radial inclination, joint incongruity have to be measured. In unstable distal radius fractures, secondary dislocation after primary closed reduction can be possible and a variety of factors affecting secondary displacement have been known, which are age, radial shortening, volar and dorsal cortical comminution et al. In general, the indications for surgical treatment are including step-off more than 2 mm, dorsal tilt more than 15degrees, radial inclination less than 15degrees, or radial shortening more than 5 mm.


Distal radius fracture; Surgical indication

MeSH Terms

Radius Fractures*


  • Fig. 1. Radiographic parameters of the distal radius fracture. (A) Radial inclination. (B) Radial length. (C) Palmar tilt.’

  • Fig. 2. Treatment algorithm of displaced distal radius fractures. STS, sugar tong splint; SAC, short arm cast; R, removable.

Cited by  1 articles

Nonsurgical Treatment of a Distal Radius Fracture: When & How?
Young Ho Shin, Jun O Yoon, Jae Kwang Kim
J Korean Fract Soc. 2018;31(2):71-78.    doi: 10.12671/jkfs.2018.31.2.71.



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