THE OUTCOME OF MINIMALLY INVASIVE SURGERY FOR DISTAL RADIUS FRACTURE WITH LOCKING PLATE
Main Article Content
Abstract
Background: Distal radius fractures are common injuries. Conservative treatment leads to good bone healing but has drawbacks, including complications and poor functional recovery. Minimally invasive plate osteosynthesis (MIPO) with locking plates offers advantages, including maximum soft tissue preservation and favorable outcomes. Objective: To describe the clinical characteristics and evaluate the outcomes of minimally invasive locking plate fixation for treating closed distal radius fractures. Materials and methods: A prospective cross-sectional study was conducted on 46 patients with closed distal radius fractures who underwent minimally invasive locking plate fixation at Can Tho University of Medicine and Pharmacy Hospital and Can Tho Central General Hospital from June 2022 to June 2024. Results: The mean age was 45.39 ± 16.92 years. The mean surgery duration was 41.52 ± 7.52 minutes, and the mean incision size was 2.88 ± 0.59 cm. Anatomical alignment results using Sarmiento criteria were excellent in 87% and good in 13%. Functional recovery assessed using Green and O’Brien criteria at six months was excellent in 89.1% of cases and good in 10.9%. Conclusion: Minimally invasive surgical treatment of distal radius fractures with locking plates provides excellent results, preserves soft tissue, and maintains periosteal blood supply, leading to faster bone healing, reduced postoperative pain, and improved functional recovery. Additionally, the small incision and minimal scarring offer significant aesthetic benefits.
Article Details
Keywords
distal radius fracture, minimally invasive, MIPO, locking plate, pronator quadratus muscle
References
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