Minimally invasive approach in radio distal end fractures, three different types of incisions

Abstract

Two techniques are described to treat distal radius fractures: conventional (Henry approach) and minimally invasive plate osteosynthesis. The latter technique has been described by different authors such as Imatani et al. and Zenke et al. This was a descriptive retrospective study, analyzing 26 adult patients with unstable distal radius fracture, extra-articular type A or partially intra-articular type B according to AO. The approaches used were: (i) single longitudinal palmar incision; (ii) double T-incision (horizontal and vertical) and (iii) double position II. Ages were between 21 and 78 years. Most affected hand was the right. Most common fracture was 23B2 (AO classification). In total, 84.6% of the patients did not present complications. According to the functional evaluation of the wrist by the Mayo Clinic, 31% showed excellent results, 42% showed good results, 27% showed fair results. The techniques had satisfactory results for the osteosynthesis with more aesthetic and less invasive approach.

Minimally Invasive Plating of Distal Radius Fracture: A Series of 42 Cases and Review of Current Literature

“…However, our study used general anesthesia. Romero Prieto et al [ 12 ] previously reported using general anesthesia to treat distal radius fractures. General anesthesia may be suitable for patients with anxiety, long surgery duration, or contraindications for regional anesthesia.…”