Department of Hand Surgery, Strasbourg University Hospitals, FMTS, avenue Molière, Strasbourg, France.
ICube CNRS UMR7357, Strasbourg University, rue Boussingault, Strasbourg, France.
Handchir Mikrochir Plast Chir. 2023 Jun;55(3):194-202. doi: 10.1055/a-1951-1585. Epub 2023 Jan 30.
The minimally invasive approach can be used for volar locking plate fixation of distal radius fractures. It offers the advantage of preserving ligamentotaxis, which facilitates the reduction and the small size of the scar improves the esthetic result of the procedure. It is indicated for extra-articular fractures of the distal radius. In the case of an intra-articular fracture, an arthroscopy may be associated. In the case of a proximal diaphyseal extension of the fracture, a second proximal approach can be added in order to use a longer plate. Relative contraindications are comminuted articular fractures in elderly osteoporotic patients. Functional and radiological results are comparable to those obtained with the extented approach. A conversion of the procedure for a larger incision is always possible in the case of a difficult reduction.
微创入路可用于掌侧锁定钢板固定桡骨远端骨折。它具有保留韧带固定性的优势，有助于复位，且较小的疤痕尺寸可改善手术的美观效果。它适用于桡骨远端关节外骨折。在关节内骨折的情况下，可能需要联合关节镜检查。在骨折近端骨干延伸的情况下，可以增加第二个近端入路，以便使用更长的钢板。相对禁忌症为老年骨质疏松患者的粉碎性关节内骨折。功能和影像学结果与广泛入路获得的结果相当。如果复位困难，始终可以转换为更大切口的手术。
