With more than thousands of hand and upper extremity surgeries to his credit Dr Vikas Gupta has affluently been fixing Distal Radius Fractures for more than 15 years and considers the radius to be the most commonly broken bone in the arm with many treatment options. According to him the treatment option has to be carefully individualized after reviewing the type and severity of the fracture keeping in mind the needs and health of the injured.
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After being a spokesman at various conferences / workshops on topics and courses related to distal radius fractures Dr Gupta while explaining DRF in simple terms says, “There are two bones in the forearm and the larger of the two is called radius. The end of this bone radius, towards the wrist is known as its distal end. When the area of the radius breaks at the distal end i.e. near the wrist it is termed as DISTAL RADIUS FRACTURE. Most commonly a fall on your outstretched arm can cause DRF but the probability of it increases if you are already suffering from osteoporosis or any other metabolic bone disease and are older than 60 years of age where even a minor fall can break your wrist. A broken wrist can also happen in healthy bones if the force of injury is severe enough like in a car accident or fall from a bike. On breaking your wrist you will feel immediate pain and your wrist will feel tender on touch. It will swell and feel like it is bruised. Many times the wrist when breaks, hangs in an odd or a bent way and you should immediately consult a surgeon if you undergo any of these symptoms.”
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Diagnostic tests help to determine the exact quantum of injury and the technique by which it has to be treated. Distal Radius Fracture can be treated from casting to pinning depending on the severity of the fracture or can be operated upon with plates or screws.
It is essential to consult an efficient surgeon to restore anatomic alignment of this important bone and navigating a patient through a particular treatment plan is a complex task and requires consideration of multiple factors and close attention during the healing phase.
As a result of his contributions and understanding of distal radius fractures Dr. Gupta was invited as consultant to USA for design of new variable angle locking plate for distal radius fractures. This implant has been FDA approved and already been used in USA and while speaking about various techniques of treating DRF Dr Vikas emphasizes, “The scope of treatment for distal radius fractures has changed considerably in recent years reducing complications and improving clinical outcomes be it casting or open surgery by internal or external fixation.”
Withan experience of 20 years at AIIMS, New Delhi and advance training from USA and Germany to enhance his expertise Dr. Vikas has been:
- The first surgeon in India to treat DRF using 2.4 mm LDRS plates
- Among the first few surgeons to treat DRF with multiple plates
- Treat DRF by Variable angle 2 column locking compression plate
- The first surgeon in India to perform Arthroscopic assisted reduction and fixation of fractures of distal radius (a minimally invasive technique for fixation of distal radius fractures using 2.4 mm arthroscope)
“Considering the gravity of the injury, the impact that it might have on the patient’s life both immediate and long term, it is important that the patient has a thorough understanding and clear conceptions of all available treatment options with their expected outcomes”, says Dr. Gupta conclusively.
FAQ – Distal Radius Fractures
The larger of the two bones in the forearm is called the radius. Radius towards the wrist is termed as its distal end. When there is a break in the distal end of the radius bone, it is termed as Distal Radius Fracture.