Abstract
INTRODUCTION: Distal forearm fractures, particularly AO type 23B and 23C, pose challenges in achieving anatomical alignment and functional recovery. Fragment-specific fixation has emerged as a promising approach, especially for complex fracture patterns. OBJECTIVES: The objective of the study was to evaluate the radiological and functional outcomes of column-specific fixation in distal forearm fractures using cost-effective implants. MATERIALS AND METHODS: This retrospective observational study was conducted over 2 years at a tertiary care center in Eastern India. Distal forearm fractures operated using low-cost, standard orthopedic implants were studied. RESULTS: Functional outcomes were good to excellent in 70.1% of patients. No cases of tendon attrition or hardware prominence were observed. CONCLUSION: Fragment-specific fixation can be safely performed without high-end implants and with minimal complications, supporting its use as a cost-effective and anatomically sound technique.