Single-handed volar locking plate fixation for distal radius fractures

Dorsally displaced distal radius fractures are among the most common orthopedic injuries, requiring surgical techniques that ensure optimal functional recovery while minimizing complications. The traditional method of volar locking plate osteosynthesis, although considered the gold standard, often requires a multidisciplinary surgical team. In the context of staff shortages and the need to optimize resources, this work presents a technique that can be performed by a single surgeon, particularly suited for young practitioners. The objective of this study is to demonstrate that distal radius osteosynthesis without operative assistance is simple, effective, and safe, reducing the need for external support without compromising clinical outcomes.

The described surgical technique is based on a modified Henry approach combined with volar locking plate osteosynthesis for the treatment of dorsally displaced distal radius fractures. The materials used include a locked distal radius plate, temporary fixation wires, a self-retaining retractor, and a periosteal elevator. The procedure is performed without operative assistance, thereby optimizing the use of human resources. In the video presentation, the procedure is shown and described step by step, with particular emphasis on retractor placement and hand positioning to achieve adequate visualization of the fracture and subsequent reduction.

This single-surgeon technique optimizes human resources while maintaining safety and efficacy standards. It is particularly beneficial in hospitals with limited resources. Preliminary results suggest that this technique can be successfully implemented by young surgeons. Precision in plate positioning and temporary stabilization is essential to ensure effective recovery.

Distal radius osteosynthesis without operative assistance represents an innovative alternative, particularly suited for young surgeons and resource-limited environments. Although this method optimizes human resources and maintains satisfactory functional outcomes, it requires specific training to minimize risks related to the absence of assistance.