ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
A comparative study of minimally invasive plate osteosynthesis with t-shaped incision technique and standard volar approach with pronator quadratus preservation in volar plating of distal radius fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study introduces a novel minimally invasive plate osteosynthesis technique using two small T-shaped incision (T-MIPO) for the treatment of distal radius fractures. It compares the short-term postoperative pain levels, assessed by the visual analogue scale (VAS), between T-MIPO and the standard volar approach (SVA) with preservation of the pronator quadratus (PQ).
methodsThe retrospective study enrolled 65 patients with distal radius fractures, divided into two groups: the T-MIPO group (n = 36) and the SVA with PQ preservation group (n = 29). The choice of surgical technique (T-MIPO or SVA with PQ preservation) was determined by the same medical team, and all procedures were performed by a single orthopedic surgeon. Postoperative pain was assessed using the VAS at 1 and 3 days following the surgery.
resultsThis retrospective study demonstrated a significant difference in postoperative pain VAS score between the groups on day 1 (T-MIPO: 2.11 ± 0.57 vs. SVA with PQ preservation: 3.66 ± 0.77, p < 0.001) and day 3 (T-MIPO: 0.97 ± 0.65 vs. SVA with PQ preservation: 2.34 ± 0.77, p < 0.001). However, the degree of VAS score reduction between postoperative day 1 day 3 was not significantly different between the two groups.
conclusionsThis underscores the advantages of T-MIPO technique for managing distal radius fractures. This approach achieves radiological outcomes comparable to the SVA with PQ preservation technique while significantly reducing postoperative pain on both day 1 and day 3. Additionally, the T-MIPO technique offers benefits such as minimizing soft tissue damage and providing superior cosmetic benefits results.
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