Fig. 1

Using the IlluminOss® System for fixating a distal radius fracture*. a 1.5–2.0 cm incision over the radial styloid process, between the first and second extensor compartment to reach the periosteum. The superficial branches of the radial nerve are protected. b Access to the medullary canal and insertion of a 1.5 mm guide-wire. c Correct position is verified by intra-operative fluoroscopy. d Flexible balloon catheter is placed intramedullary over the guide-wire spanning the fracture. e Infusion of liquid monomeric material and expansion of the balloon conforming to the patient’s unique medullary canal. f Verification of adequate fracture reduction, correct balloon position, and balloon expansion. g Polymerization (hardening) of the infused monomer by applying visible (436 nm) light, creating a patient specific intramedullary implant. * (Photographs and radiographs are used with permission of the patient)