How should I manage a patient with a confirmed distal radius fracture in terms of immobilization and follow-up care?

For a patient with a confirmed distal radius fracture, immobilization typically involves manipulation and application of a plaster cast, especially in adults with dorsally displaced fractures.

In children (skeletally immature), a below-elbow plaster cast is considered after manipulation, or K-wire fixation if the fracture is completely displaced.

Follow-up care includes arranging orthopaedic review to monitor fracture stability and healing. Surgery, if indicated, should be performed within 72 hours for intra-articular fractures and within 7 days for extra-articular fractures. If re-displacement occurs, surgery should be done within 72 hours of the decision to operate.

Patients should be provided with verbal and written information about expected outcomes, rehabilitation, mobilisation, and when to seek further review if symptoms do not improve.