What to do about a Koch fracture

Curvular fracture, also known as distal radius fracture, is a common fracture in clinical practice. For the Kirchner’s fracture with good stability and no transarticular surface, it is usually treated with manual traction repositioning and external fixation with plaster rest, which can achieve good results, and external fixation with plaster rest usually takes 1-1.5 months. During this period, the blood flow of the finger end should be closely observed and X-ray films should be reviewed regularly to understand the healing of the fracture and whether it is displaced again. For unstable fractures or comminuted fractures involving the articular surface, surgical treatment is usually used, and the fracture is repositioned through the palmar approach to the wrist and then plate screws are placed.