A broad scope of wrist instability: Osseous & ligamentous pathology prediction, evaluation, and treatment optimization
This thesis broadens the perspective on wrist pathology: from fracture mechanics, through fixation strategies and hardware-related complications in distal radius fractures, to the ligamentous framework that sustains joint stability beyond the bone. It argues for the routine use of CT imaging to refine diagnosis, enable fragment-specific classification, and predict loss of alignment after reduction, potentially aided by AI.
This thesis describes sufficient surgical planning by "scaffold" screw placement in the DRFs and provides deeper insight in hardware related complications or reoperations. Furthermore, it highlights the underappreciated role of extrinsic ligaments in scapholunate instability. Together, these studies advocate an integrated, patient centered, evidence-based approach to wrist surgery.