Distal radius fractures: Minimally invasive plate osteosynthesis with dorsal bicolumnar locking plates fixation

Alvin Chao Yu Chen*, Ying Chao Chou, Chun Ying Cheng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

7 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)93-98
Number of pages6
JournalIndian Journal of Orthopaedics
Volume51
Issue number1
DOIs
StatePublished - 01 01 2017

Bibliographical note

Publisher Copyright:
© 2017 Indian Journal of Orthopaedics | Published by Wolters Kluwer - Medknow.

Keywords

  • Bicolumnar fixation
  • bone plates
  • distal radius fracture
  • dorsal approach
  • fracture fixation
  • minimally invasive osteosynthesis MeSH terms: Wrist injuries
  • minimally invasive surgical procedures
  • radius fracture

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