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Original Article Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures
Young Sung Kim, Jong Pil Kim, Phil Hyun Chung, Ho Min Lee, Bo Sung Go
Journal of Musculoskeletal Trauma 2020;33(2):72-80.
DOI: https://doi.org/10.12671/jkfs.2020.33.2.72
Published online: April 30, 2020
ment of Orthopaedic Surgery, Dongguk University College of Medicine, Gyeongju, Korea

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Abstract

Purpose
This study compared minimally invasive plate osteosynthesis (MIPO) using a single small skin incision and conventional open volar locking plate fixation (OP) for distal radius fracture to identify outcome difference.
Materials and Methods
Forty-three patients who underwent MIPO using a single small skin incision or OP for distal radius fractures were evaluated retrospectively. Of the patients, 21 were treated with MIPO using a single small skin incision and 22 with the OP method through the conventional volar approach. The postoperative radiographic results and clinical outcomes at the final follow-up in each group were compared.
Results
All patients achieved bone union in the MIPO and OP groups. No significant differences in the bone union time, alignment, range of motion, QuickDASH, or pain score were observed. On the other hand, the size of the incision was significant: 23 mm in the MIPO group and 55 mm in the OP group (p<0.001).
Conclusion
MIPO technique using a single small incision showed similar satisfactory radiographic and functional outcomes compared to conventional OP for distal radius fractures. The MIPO technique using a single small incision offered advantages, including cosmetic benefits and minimal soft tissue damage, is recommended, particularly in young women and high functional demand patients.


J Korean Fract Soc. 2020 Apr;33(2):72-80. Korean.
Published online Apr 28, 2020.
https://doi.org/10.12671/jkfs.2020.33.2.72
Copyright © 2020 The Korean Fracture Society. All rights reserved.
Original Article

Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures

Young Sung Kim, M.D., Jong Pil Kim, M.D., Phil Hyun Chung, M.D., Ho Min Lee, M.D. and Bo Sung Go, M.D.
    • Department of Orthopaedic Surgery, Dongguk University College of Medicine, Gyeongju, Korea.
  • Correspondence to: Jong Pil Kim, M.D. Department of Orthopaedic Surgery, Dongguk University Gyeongju Hospital, 87 Dongdae-ro, Gyeongju 38067, Korea. Tel: +82-54-770-8221, Fax: +82-54-770-8378, Email: kjpil@dongguk.ac.kr
Received October 12, 2019; Revised November 26, 2019; Accepted February 21, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study compared minimally invasive plate osteosynthesis (MIPO) using a single small skin incision and conventional open volar locking plate fixation (OP) for distal radius fracture to identify outcome difference.

Materials and Methods

Forty-three patients who underwent MIPO using a single small skin incision or OP for distal radius fractures were evaluated retrospectively. Of the patients, 21 were treated with MIPO using a single small skin incision and 22 with the OP method through the conventional volar approach. The postoperative radiographic results and clinical outcomes at the final follow-up in each group were compared.

Results

All patients achieved bone union in the MIPO and OP groups. No significant differences in the bone union time, alignment, range of motion, QuickDASH, or pain score were observed. On the other hand, the size of the incision was significant: 23 mm in the MIPO group and 55 mm in the OP group (p<0.001).

Conclusion

MIPO technique using a single small incision showed similar satisfactory radiographic and functional outcomes compared to conventional OP for distal radius fractures. The MIPO technique using a single small incision offered advantages, including cosmetic benefits and minimal soft tissue damage, is recommended, particularly in young women and high functional demand patients.

Keywords
Distal radius fracture, Open plating, Minimally invasive plate osteosynthesis, Single-incision

Figures

Fig. 1
A 20-mm sized skin incision is drawn over the flexor carpi radialis tendon just 2 cm proximal to the wrist flexor crease.

Fig. 2
(A) Intraoperative photo. (B) Fluoroscopic anteroposterior radiograph. A K-wire is used to temporarily hold the plate after sliding the plate under the pronator quadratus muscle belly.

Fig. 3
(A) Intraoperative photo. (B) Fluoroscopic anteroposterior radiograph. The proximal diaphyseal plate hole is identified by C-arm fluoroscopy

Fig. 4
Proximal diaphyseal locking screw is inserted through the small slot of the pronator quadratus muscle belly.

Fig. 5
Plate anterior protrusion and plate-watershed distance were measured on the lateral wrist radiograph.

Tables

Table 1
Demographic Data of the Patients

Table 2
Radiological Results

Table 3
Clinical Outcomes

Notes

Financial support:None.

Conflict of interests:None.

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    Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures
    J Korean Fract Soc. 2020;33(2):72-80.   Published online April 30, 2020
    DOI: https://doi.org/10.12671/jkfs.2020.33.2.72
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