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A Pronator Teres-sparing Volar Approach for Osteosynthesis of Midshaft Diaphyseal Radius Fractures
James M McLean1, Aaron W Stevenson, Anthony Samson
1*Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge ∥Upper Limb Unit, Wrightington Hospital, Lancashire #The Evelyn Cambridge Surgical Training Centre, Hertfordshire, UK †Discipline of Orthopaedics and Trauma, University of Adelaide ‡University of Adelaide Centre for Orthopaedic and Trauma Research, Royal Adelaide Hospital, Adelaide, SA, Australia §Department of Pediatric Orthopedics, Shriners Hospital, Portland, OR ¶Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
Abstract:
Henry's approach is widely considered the "workhorse" for exposing the volar radius and has not really changed since his original description in 1945. We describe a pronator teres-sparing volar approach to the forearm, for osteosynthesis of midshaft diaphyseal radius fractures. We believe this approach is safe, simple, and reproducible, and has several practical and theoretical advantages over Henry's original description.
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