Figure 1.

Case illustration; two patients (A & B) with comminuted AO type C3 left distal radius fracture with distal volar lunate facet/volar rim fragment, A-P views A (i) and B (i). Lateral X-ray shows intra-articular displacement and comminution A (ii) and B (ii). CT scan image indicates the small fragment and loss of volar inclination and dorsal comminution A (iii,iv) and B (iii,iv).

Figure 2.

Surgical procedure. Phalangeal plate contoured into a “hook plate” (A). Temporal fixation of fragments with K-wire (B) followed with internal fixation with plate and screw (C & D).

Figure 3.

Postoperative radiographic follow-up of two patients (A and B) after treatment with external fixator and “hook” plate. Control CT scan view A (i) and B (i). A-P X-ray views A (ii) and B (ii). Lateral X-ray views A (iii) and B (iii) indicated articular congruity, restoration of radial length and stabilization of the fracture fragments. A (iv, v) and B (iv, v) showed healing of bone after internal removal. CT: computed tomography; AP: anterior-posterior; L: lateral.

Table 1.

Presentation of Mayo wrist score and Gartland and Werley score at 3 months and 12 months of follow-up