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

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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 (M IPO) 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.

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Authors and Affiliations

  1. Bone and Joint Research Center, Chang Gung Memorial Hospital-Linkou College of Medicine, Chang Gung University, Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan, Republic of China

    Alvin Chao-Yu Chen, Ying-Chao Chou & Chun-Ying Cheng

Authors
  1. Alvin Chao-Yu Chen
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  2. Ying-Chao Chou
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  3. Chun-Ying Cheng
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Correspondence to Alvin Chao-Yu Chen.

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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Chen, A.CY., Chou, YC. & Cheng, CY. Distal radius fractures: Minimally invasive plate osteosynthesis with dorsal bicolumnar locking plates fixation. IJOO 51, 93–98 (2017). https://doi.org/10.4103/0019-5413.197555

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  • DOI: https://doi.org/10.4103/0019-5413.197555

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