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DetailsIn osteoporotic bone, the distal articular fragment may be very short, and varying degrees of metaphyseal comminution may be present in the ulnar or radial column. The most difficult task is to stabilize a very short articular fragment when the bone quality is poor. This can be achieved with standard techniques, preferably with a precontoured angular-stable plate. Precontoured anatomic plates have been produced. If these are not available, a reconstruction plate is used both on the medial and the lateral sides. If a stronger plate is required, a small fragment dynamic condylar plate may be used, but this is more difficult to contour.
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