Distal radius fractures: Minimally invasive plate osteosynthesis with dorsal bicolumnar locking plates fixation
| Autor: | Chun-Ying Cheng, Alvin Chao-Yu Chen, Ying-Chao Chou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
dorsal approach distal radius fracture mesh:minimally invasive surgical procedures Bicolumnar fixation bone plates 03 medical and health sciences 0302 clinical medicine mesh:Wrist injuries lcsh:Orthopedic surgery Bone plate Fracture fixation Deformity Medicine Orthopedics and Sports Medicine Fixation (histology) 030222 orthopedics business.industry Retrospective cohort study 030229 sport sciences Radius Surgery minimally invasive surgical procedures mesh:fracture fixation minimally invasive osteosynthesis MeSH terms: Wrist injuries lcsh:RD701-811 mesh:radius fracture mesh:bone plates minimally invasive osteosynthesis Radiological weapon Orthopedic surgery fracture fixation Original Article medicine.symptom business radius fracture |
| Zdroj: | Indian Journal of Orthopaedics Indian Journal of Orthopaedics, Vol 51, Iss 1, Pp 93-98 (2017) |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Background: Controversy still exists regarding the current treatment modalities for unstable distal radius fractures. There are yet few articles investigating the efficacy of bicolumnar dorsal plating technique, which is designed to minimize tissue dissection while providing sufficiently secure fixation. A clinical study was performed to evaluate the feasibility of the minimally invasive plate osteosynthesis (MIPO) technique using a modified dorsal approach for the treatment of distal radius fractures. Materials and Methods: Thirty patients with unilateral distal radius fracture who underwent bicolumnar plate fixation with a minimally invasive dorsal approach between September 2008 and December 2010 were included in this retrospective study. Twenty four patients (8 men and 16 women) with a mean age of 53 years (range 18-85 years) were available for followup of at least 1 year or more were included in final study. Herein, we report the functional radiological outcomes of the study. There were three cases of AO Type A fracture, five cases of AO Type B fracture, and 16 cases of AO Type C fracture. Results: The union was achieved in all the patients. The functional results at one-year followup, assessed using the modified Gartland and Werley scoring system, were excellent in 14 patients, good in seven patients, and fair in three patients. The average correction of deformity was 4.1 mm for radial height, 7.6° for radial inclination, and 20.7° for volar tilt. Conclusions: MIPO with a dorsal approach is a feasible option for the management of displaced distal radius fractures and can result in favorable surgical outcomes. |
| Databáze: | OpenAIRE |
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