Technique, Indications and Limitations of a Minimally Invasive Approach to Treat Distal Radius Fractures and Malunions.

Autor:	Liverneaux P; Department of Hand Surgery, Strasbourg University Hospitals, FMTS, avenue Molière, Strasbourg, France.; ICube CNRS UMR7357, Strasbourg University, rue Boussingault, Strasbourg, France., Amiri LE; Department of Hand Surgery, Strasbourg University Hospitals, FMTS, avenue Molière, Strasbourg, France., Facca S; Department of Hand Surgery, Strasbourg University Hospitals, FMTS, avenue Molière, Strasbourg, France.; ICube CNRS UMR7357, Strasbourg University, rue Boussingault, Strasbourg, France., Sapa MC; Department of Hand Surgery, Strasbourg University Hospitals, FMTS, avenue Molière, Strasbourg, France.
Jazyk:	angličtina
Zdroj:	Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V.. [Handchir Mikrochir Plast Chir] 2023 Jun; Vol. 55 (3), pp. 194-202. Date of Electronic Publication: 2023 Jan 30.
DOI:	10.1055/a-1951-1585
Abstrakt:	The minimally invasive flexor carpi radialis approach can be used for volar locking plate fixation of distal radius fractures. It offers the advantage of preserving ligamentotaxis, which facilitates the reduction and the small size of the scar improves the esthetic result of the procedure. It is indicated for extra-articular fractures of the distal radius. In the case of an intra-articular fracture, an arthroscopy may be associated. In the case of a proximal diaphyseal extension of the fracture, a second proximal approach can be added in order to use a longer plate. Relative contraindications are comminuted articular fractures in elderly osteoporotic patients. Functional and radiological results are comparable to those obtained with the extented flexor carpi radialis approach. A conversion of the procedure for a larger incision is always possible in the case of a difficult reduction. Competing Interests: Philippe Liverneaux has conflicts of interest with Newclip Technics, Argomédical, Caresyntax No other authors have conflicts of interest (Thieme. All rights reserved.)
Databáze:	MEDLINE
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