Three Column Fixation Through a Single Incision in Distal Radius Fractures

Area of Science:

• Orthopedic Surgery
• Traumatology
• Hand Surgery

Background:

• Distal radius fractures (DRF) are common injuries.
• Effective surgical fixation is crucial for restoring function.
• Existing techniques may have limitations in achieving comprehensive fixation.

Purpose of the Study:

• To evaluate the clinical and functional results of a modified surgical technique for DRF.
• To assess the efficacy of a single palmar approach for three-column fixation.
• To determine the safety and effectiveness of this technique in a cohort of 67 patients.

Main Methods:

• A cohort of 67 patients with DRF were treated between 2014 and 2019.
• A modified palmar approach was used, creating two intervals for visualization.
• Anatomic volar locking plates and K-wires or plates for styloid fixation were employed.
• Functional outcomes were assessed using DASH and Mayo Wrist scores, range of motion, and grip strength.

Main Results:

• All 67 fractures achieved union with a mean follow-up of 47 months.
• Patients returned to their pre-injury activity levels.
• No infections, nonunions, or major complications were reported.
• Significant improvements in range of motion and grip strength were observed compared to the contralateral wrist.

Conclusions:

• Open reduction and internal fixation using the described modified palmar approach is an effective treatment for DRF.
• The technique offers excellent visualization and allows for three-column fixation through a single incision.
• This method represents an efficient option in the surgical management of distal radius fractures.