AOTrauma Webinar:  Why Do Patients Get Infection?

May 30, 2017 14:00 CET

Main Presenter: Olivier Borens, MD (Switzerland)
Chat Moderator: Stephen Kates, MD (USA)

Surgical site infections after trauma are debilitating and costly. They are feared by the surgeon and the patient alike. The incidence of this complication can be decreased by proper preoperative, intraoperative, and postoperative management.
The goal of this webinar is to present easy-to-use tools and strategies that will lead to a decrease in the incidence of infection.

More information and registration...


Executive Editor: Steve Krikler

Authors: Renato Fricker, Jesse Jupiter, Matej Kastelec

Distal forearm

back to skeleton


Dorsal approach

This extended dorsal approach can be used for wrist fusions or for joint-spanning plate fixation of comminuted intra-articular distal radius fractures.


When mobilizing the skin flaps, make sure not to injure the superficial radial nerve.


Incision of retinaculum

The third compartment is opened completely in line with the EPL tendon in the extensor retinaculum.
When opening the tendon sheath, be careful not to cut the tendon.

The incision is extended proximally in line with the EPL tendon.


Mobilization of extensor pollicis longus tendon

The extensor pollicis longus tendon (EPL) is freed and a vessel loop is passed around it.

The tendon is pulled towards the radial side.


Subperiosteal elevation of 4th compartment

The fourth compartment is elevated subperiosteally, leaving the compartment itself intact. The intermediate column is now exposed.

The tendons of the 4th extensor compartment are held to the ulnar side.

If necessary, the tendons of the second extensor compartment are mobilized to the radial side.


The periosteum is incised on the dorsal side of the third metacarpal and the interosseous muscles elevated subperiostally if necessary.