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J Wrist Surg 2021; 10(02): 136-143
DOI: 10.1055/s-0040-1721141
Scientific Article

Mini-Invasive Surgery for Distal Radius Fractures: A Double Incision under 12 mm

Elisabete Ribeiro
1   Orthopaedic Surgery and Trauma Department, Hospital de Braga, Braga, Portugal
,
Gustavo Campanholi
2   Instituto Reaction, São Paulo, Brazil
,
Marcelo Acherboim
3   Department of Orthopaedic Surgey, Hospital Albert Einstein, São Paulo, Brazil
,
Gustavo Mantovani Ruggiero
4   Beneficência Portuguesa de São Paulo/São Paulo Hand Center, São Paulo, Brazil
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Abstract

Background Distal radius fracture is one of the most common lesions in adults. Surgical techniques have evolved considerably with a clear tendency toward mini-invasive techniques.

Objective Our aim is to push the limits to a 12 mm approach and evaluate its clinical and radiological results.

Patients and Methods Ten fractures in nine patients were operated by a double incision with mean size 11.50 ± 3.41 mm (range 8.00–1.00) and using a specially designed volar distal locking plate.

Results At the latest follow-up, visual analogue scale score for pain (0.20 ± 0.63 during rest and 0.60 ± 1.07 while making efforts) and quick DASH (quick Disabilities of the Arm, Shoulder and Hand) score (6.14 ± 7.43) were extremely low. All the range of motion parameters and grip strength were above the 95% barrier of the contralateral side, with exception of ulnar deviation. Radiological parameters obtained were located within the normal ranges. Time to return to independent daily tasks and work was 6.67 ± 5.15 and 10.14 ± 14.24 days, respectively. One case of transient carpal tunnel syndrome was solved with watchful waiting and one case of extensor tendons impingement was improved after plate removal. All patients were completely satisfied at the end of the treatment.

Conclusion In conclusion, mini-invasive volar technique for distal radius fractures with special designed plates in carefully selected patients allowed us to obtain good clinical and radiological results, minimal complications, fast recovery, and high-satisfactory rates.

Level of Evidence This is a Level IV, case series study.

Keywords

distal radius fracture - minimally invasive plate osteosynthesis - volar plate

Note

The study was performed at Beneficência Portuguesa de São Paulo, São Paulo, Brazil.


Ethical Approval

The current study took place after revision and approval by Ethical in Research Committee of Beneficência Portuguesa de São Paulo, São Paulo, Brazil.




Publication History

Received: 17 August 2020

Accepted: 15 October 2020

Article published online:
04 December 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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