The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study
Background: The distal radius fracture is a common orthopedic injury. We aimed to share the surgical steps and investigate the outcomes of treating distal radius fractures with wounds ≤10 mm using a globally accessible locking plate. Methods: We collected 46 patients who underwent surgery via a <...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/24/7670 |
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| author | Chang-Yu Huang Chia-Che Lee Chih-Wei Chen Ming-Hsiao Hu Kuan-Wen Wu Ting-Ming Wang Jyh-Horng Wang Tzu-Hao Tseng |
| author_facet | Chang-Yu Huang Chia-Che Lee Chih-Wei Chen Ming-Hsiao Hu Kuan-Wen Wu Ting-Ming Wang Jyh-Horng Wang Tzu-Hao Tseng |
| author_sort | Chang-Yu Huang |
| collection | DOAJ |
| description | Background: The distal radius fracture is a common orthopedic injury. We aimed to share the surgical steps and investigate the outcomes of treating distal radius fractures with wounds ≤10 mm using a globally accessible locking plate. Methods: We collected 46 patients who underwent surgery via a <10 mm wound, with a control group consisting of 40 patients who underwent conventional procedures. Both groups were treated using the same volar plate. We compared the radiographic reduction quality, including volar tilt angle, radial inclination angle, and ulna variance. Additionally, clinical outcomes, such as pain assessed using VAS, Q-Dash score, and PRWE, were evaluated. Patient satisfaction with the wound was also analyzed. The follow-up time for the clinical outcomes was 24.2 ± 13.47 months. Results: There were no differences in the quality of reduction in parameters such as the volar tilt angle (<i>p</i> = 0.762), radial inclination angle (<i>p</i> = 0.986), and ulna variance (<i>p</i> = 0.166). Both groups exhibited comparable results in pain VAS (<i>p</i> = 0.684), Q-Dash score (<i>p</i> = 0.08), and PRWE (<i>p</i> = 0.134). The ≤10 mm incision group displayed an increase in satisfaction with the wound (<i>p</i> < 0.001). Conclusions: Treating distal radius fractures with a <10 mm wound using a non-specialized locking plate is a feasible approach. It does not compromise the quality of fracture reduction or functional scores and improves wound satisfaction. |
| first_indexed | 2024-03-08T20:39:04Z |
| format | Article |
| id | doaj.art-9fd4175bb9024be6bf6a88b603b85698 |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T20:39:04Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9fd4175bb9024be6bf6a88b603b856982023-12-22T14:17:23ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224767010.3390/jcm12247670The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative StudyChang-Yu Huang0Chia-Che Lee1Chih-Wei Chen2Ming-Hsiao Hu3Kuan-Wen Wu4Ting-Ming Wang5Jyh-Horng Wang6Tzu-Hao Tseng7Department of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanDepartment of Orthopaedic Surgery, National Taiwan University Hospital, Taipei City 100225, TaiwanBackground: The distal radius fracture is a common orthopedic injury. We aimed to share the surgical steps and investigate the outcomes of treating distal radius fractures with wounds ≤10 mm using a globally accessible locking plate. Methods: We collected 46 patients who underwent surgery via a <10 mm wound, with a control group consisting of 40 patients who underwent conventional procedures. Both groups were treated using the same volar plate. We compared the radiographic reduction quality, including volar tilt angle, radial inclination angle, and ulna variance. Additionally, clinical outcomes, such as pain assessed using VAS, Q-Dash score, and PRWE, were evaluated. Patient satisfaction with the wound was also analyzed. The follow-up time for the clinical outcomes was 24.2 ± 13.47 months. Results: There were no differences in the quality of reduction in parameters such as the volar tilt angle (<i>p</i> = 0.762), radial inclination angle (<i>p</i> = 0.986), and ulna variance (<i>p</i> = 0.166). Both groups exhibited comparable results in pain VAS (<i>p</i> = 0.684), Q-Dash score (<i>p</i> = 0.08), and PRWE (<i>p</i> = 0.134). The ≤10 mm incision group displayed an increase in satisfaction with the wound (<i>p</i> < 0.001). Conclusions: Treating distal radius fractures with a <10 mm wound using a non-specialized locking plate is a feasible approach. It does not compromise the quality of fracture reduction or functional scores and improves wound satisfaction.https://www.mdpi.com/2077-0383/12/24/7670distal radius fractureopen reduction and internal fixationminimally invasivefunctional outcomeradiographic outcome |
| spellingShingle | Chang-Yu Huang Chia-Che Lee Chih-Wei Chen Ming-Hsiao Hu Kuan-Wen Wu Ting-Ming Wang Jyh-Horng Wang Tzu-Hao Tseng The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study Journal of Clinical Medicine distal radius fracture open reduction and internal fixation minimally invasive functional outcome radiographic outcome |
| title | The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study |
| title_full | The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study |
| title_fullStr | The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study |
| title_full_unstemmed | The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study |
| title_short | The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study |
| title_sort | outcome of under 10 mm single incision surgery using a non specialized volar plate in distal radius fractures a retrospective comparative study |
| topic | distal radius fracture open reduction and internal fixation minimally invasive functional outcome radiographic outcome |
| url | https://www.mdpi.com/2077-0383/12/24/7670 |
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