Retrospective cohort study of 43 intra-articular distal radius fractures in 40 young adults (mean age 27.6 years) examining which radiographic parameters — articular congruity, dorsal tilt, and radial length — determine the development of post-traumatic arthritis and functional outcome at mean 6.7-year follow-up.
Anatomic articular restoration is the most critical factor for preventing post-traumatic arthritis in young adults with intra-articular distal radius fractures. Die-punch fragments are particularly challenging and often require open reduction to achieve anatomic restoration.
Retrospective cohort study of 43 intra-articular distal radius fractures in 40 young adults (mean age 27.6 years) examining which radiographic parameters — articular congruity, dorsal tilt, and radial length — determine the development of post-traumatic arthritis and functional outcome at mean 6.7-year follow-up.
Anatomic articular restoration is the most critical factor for preventing post-traumatic arthritis in young adults with intra-articular distal radius fractures. Die-punch fragments are particularly challenging and often require open reduction to achieve anatomic restoration.