Takada N, Otsuka T, Yamada K, Suzuki H, Hasuo T, Kondo A, Fukuta M
Department of Orthopaedic Surgery, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8602, Japan.
Department of Orthopaedic Surgery, Komaki City Hospital, 1-20 Jyobushi, Komaki, Aichi, 485-0852, Japan.
Eur J Trauma Emerg Surg. 2012 Dec;38(6):627-32. doi: 10.1007/s00068-012-0204-z. Epub 2012 Jul 14.
Since 2006, we have been performing minimally invasive plate osteosynthesis with a palmar locking plate and without division of the pronator quadratus muscle for repairing distal radial fractures. The purpose of this study was to present the surgical technique we have developed and to retrospectively evaluate the clinical outcomes.
Twenty patients were treated with this technique between January and December 2007. The range of motion of the wrist and forearm, grip strength, and the quick disability of the arm, shoulder, and hand score were assessed at the latest follow-up examination, and postoperative complications were evaluated.
The average ranges of flexion and extension of the wrist were 55° and 60°, respectively. The average ranges of supination and pronation of the forearm were 88° and 86°, respectively. The average grip strength of the treated side was 71 % of that of the uninjured side. The average quick disability of the arm, shoulder, and hand score was 13.4 points. No patient had loss of fracture reduction, implant failure, deep infection, or tendon or nerve problems.
The small skin incisions of this technique are advantageous from the aesthetic viewpoint. Minimally invasive plate osteosynthesis is one of the options for the treatment of distal radial fractures.
自2006年以来，我们一直采用掌侧锁定钢板并在不切断旋前方肌的情况下进行微创钢板接骨术来治疗桡骨远端骨折。本研究的目的是介绍我们所开发的手术技术并对临床结果进行回顾性评估。
2007年1月至12月期间，20例患者接受了该技术治疗。在最近的随访检查中评估了腕关节和前臂的活动范围、握力以及手臂、肩部和手部快速残疾评分，并对术后并发症进行了评估。
腕关节的平均屈伸范围分别为55°和60°。前臂的平均旋前和旋后范围分别为88°和86°。治疗侧的平均握力为健侧的71%。手臂、肩部和手部快速残疾评分的平均值为13.4分。没有患者出现骨折复位丢失、植入物失败、深部感染或肌腱或神经问题。
从美学角度来看，该技术的小皮肤切口具有优势。微创钢板接骨术是治疗桡骨远端骨折的选择之一。
