Minimally Invasive Plate Osteosynthesis in Distal Radius Fracture is not Superior to Modified Henry Approach with Pronator Quadratus Sparing: A Retrospective Cohort Study
Background: Minimally invasive plate osteosynthesis (MIPO) has been widely used to treat distal radius fractures (DRFs) with higher satisfaction and cosmetic and economic advantages than the modified Henry approach. However, few studies have focused on MIPO and cohorts using the modified Henry appro...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Formosan Journal of Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/FJMD.FJMD_324 |
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| Summary: | Background:
Minimally invasive plate osteosynthesis (MIPO) has been widely used to treat distal radius fractures (DRFs) with higher satisfaction and cosmetic and economic advantages than the modified Henry approach. However, few studies have focused on MIPO and cohorts using the modified Henry approach with pronator quadratus (PQ) sparing.
Objectives:
The purpose of this retrospective study was to compare clinical outcomes and complications of MIPO with those of the modified Henry approach with PQ sparing in the treatment of DRF.
Materials and Methods:
The study included 17 patients with DRF treated with MIPO (Group A) and 15 patients with DRF treated with the modified Henry approach with PQ sparing (Group B) between January 2016 and August 2019. Healing time, radiographic evaluation, range of motion, Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score, and pain score were observed and compared between the two groups.
Results:
Intraoperative blood loss (65.2 ± 28.7 cc) and operative time (75.4 ± 16.5 min) was significantly more in Group A than in Group B (P < 0.05). In addition, Group A showed a worse supination angle after operation (82.9 ± 10.3) than Group B (90 ± 5.2). There were no significant differences in union time, other ranges of motion, grip strength, DASH score, pain score, or time to return to work between the two groups.
Conclusions:
MIPO for DRF was not superior to the modified Henry approach with PQ sparing. A few critical complications were observed in the MIPO group. Clinicians should select the appropriate surgical technique for the treatment of distal radial fractures. |
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| ISSN: | 2210-7940 2210-7959 |