Clinical Outcomes and Guideline Adherence in Distal Radial Fractures with Associated Carpal Dislocations: A Service Evaluation

Adherence to BOA/BSSH guidelines was poor, particularly for anaesthesia choice, immobilisation duration, and surgical timing. This may have contributed to mediocre outcomes. As current standards are primarily designed for DRFs rather than CDs, their direct application to these complex cases should be interpreted cautiously. Nonetheless, improved documentation, anaesthesia practice, and adherence to early mobilisation protocols represent clear opportunities for service improvement.