Persian Fixation - A Novel Surgical Method for Intra-articular Distal Radius Fractures.

Area of Science:

• Orthopedic surgery
• Trauma surgery
• Skeletal reconstruction

Background:

• Intra-articular distal radius fractures present challenges for fixation, particularly small bone fragments.
• Existing methods like K-wire, external, and plate fixation have limitations in achieving secure and anatomical repair.
• A novel surgical approach is needed to address these challenges.

Purpose of the Study:

• To introduce and evaluate the short-term clinical outcomes of the Persian Fixation technique for intra-articular distal radius fractures.
• To assess the efficacy and safety of this new fixation method.

Main Methods:

• The Persian Fixation technique was applied to 15 patients with intra-articular distal radius fractures between 2019 and 2020.
• Surgical procedures were documented, and clinical results were assessed through examinations and validated questionnaires.
• Objective and subjective outcomes were evaluated at final follow-up.

Main Results:

• Patients achieved good to excellent clinical results, indicated by mean scores.
• Mean Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH) score was 17.6 ± 12.1.
• Mean WOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP) score was 20.7 ± 4.4, and mean Visual Analogue Scale (VAS) score was 27.8 ± 16.5.

Conclusions:

• The Persian Fixation technique is recommended for intra-articular distal radius fractures.
• This method provides stable fixation for small bone fragments.
• It is a low-cost, accessible, and effective surgical option.