Minimally Invasive Surgical Fixation for Unstable Fractures of the Distal End Radius in Adults

Document Type : Original Article

Authors

Orthopaedics and Trauma Surgery Department, Faculty of Medicine, Assiut University, Assiut, Egypt.

Abstract

Abstract:
Introduction: There has been a significant change in treating distal radius fractures in the past twenty years. Surgeons can now guarantee satisfactory outcomes for these disabling fractures because techniques and hardware have advanced to such an extent. Mini-invasive surgery is currently popular due to technical and physiological reasons and obvious aesthetic considerations. The anterior Henry approach is the gold standard for fixing distal radius fractures because anterior locking plates are widely used. However, it has drawbacks, such as the size of the incision.
Patients and Methods: Using a T-shaped palmar locking plate or 2.4mm LCP buttress plate-volar, patients undergoing treatment of distal radial fractures using the modified MIPO approach are included in a prospective clinical case series, including all patients who met the inclusion criteria that were managed by MIPO one year from the start of the study. (October 2022 to September 2023) 24 cases.
Results: Minimal invasive techniques have many advantages, such as minimizing the risk of iatrogenic injury to the palmar branch of the median nerve, improved appearance with minimal scar, reduced incisional complications, and preservation of PQ function, which is beneficial for functional tasks.
Discussion: Minimally invasive volar plating of distal radial fractures is a safe and effective procedure with good functional results, early recovery time, preservation of pronation function, and better cosmetic appearance, so it will gain more popularity.
 

Keywords

Journal of Current Medical Research and Practice
Volume 10, Issue 4
October 2025
Pages 189-196

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