Orthopedic Board Prep: Distal Radius Fracture Management & Surgical Indications MCQs

Key Takeaway

Surgical intervention for distal radius (Colles) fractures is primarily indicated when acceptable alignment cannot be maintained or achieved non-operatively. Key factors include persistent dorsal tilt (>10-20 degrees), radial shortening (>2-3mm), significant articular step-off (>1-2mm), severe comminution, and open fractures, especially after initial reduction attempts.