Radial Column and Volar Plating (RCVP) for distal radius fractures with a radial styloid component or severe comminution

Individual fracture patterns demand specific and adequate fixation. Locked volar plating has become popular in the operative fixation of distal radius fractures. However, in cases in which there is a radial styloid fragment or in cases of severe comminution, the amount of fixation from volar plating alone can be inadequate and may lead to loss of reduction. The use of locked radial column plates or Kirschner (K) wires provides additional radial column fixation and allows the surgeon to tailor the amount of fixation to the individual fracture pattern. Outlined here is the technique of combining volar plating with locked radial column plating or K-wire fixation, as well as a step-by-step outline to help achieve fracture reduction.