Vol. 5, Issue 4, Part B (2019)

Abstract
Distal radius is the site where the narrower diaphyseal part gradually broadens and thins out and thick cortical bone gradually replaced by spongy cancellous bone. In our study it extended from 0-18mm from distal articular surface proximally. Dorsal part of DER has lot of tendons, so there is always compression in the ventral and tension in the dorsal surface. Because of the tension, compression and distinct curvature fractures is very common at this region. Mostly common occurs around 12-18mm in elderly and 0-9mm in young from the articular surface. Union is early, but malunions are common Although distal radial fractures occur uniformly across all age group, a bimodal pattern was observed with one peak among young and one among elderly age-groups. Males suffered more fracture in the younger age group while female patient predominate in the elderly group due to higher incidence of osteoporosis. The most common fracture observed was AO type B, followed by Type A and C respectively caused mainly by accidental falls, although there is significant contribution by RTA in younger males. The surgical definition of distal radius has to be understood and emphasis must be paid in understanding and outlining the watershed line, the anatomy of ulnar and radial columns, the anatomy of lister’s tubercle and the cortico-cancellous junction. While plating distal portion of the plate must not exceed the watershed line and be perfectly at the line of the pronator quadrates. Further prospective randomized studies with longer duration of follow up periods will be required to compare outcomes of different treatment modalities in different fracture types accurately to be able to come up with a regional standard protocol for managing these fractures based on the race, age, sex, demands, life expectancy, level of activity and availability of resources and type of health care services available locally.