Loss of fixation in distal radius fractures

Loss of fixation is one subset of complications that may be encountered after surgical treatment for distal radius fractures. Fixation loss can occur in a number of ways, including radial shortening of the distal fragment, increasing dorsal angulation, and loss of lunate facet fixation, among others. The present chapter investigates the risk factors for the different mechanisms of fixation loss, their associated functional consequences, and the factors to consider in planning the timing and type of further intervention. For some patients, particularly elderly patients with lower demands, some loss of anatomic reduction may be tolerable and benefits of nonoperative management may outweigh the risks of additional surgical intervention.