Carlos Morales¹, Marco Guidi², Alejandro Balzan³

¹Senior Surgeon in all the Cases, Hospital San Juan de Dios, Curico, Chile
²Clinica Ars Medica, Gravesano, Switzerland
³Omni Hosptial-MEDIGLOBAL Ecuador

*Corresponding Author: Carlos F Morales Hackett, Senior Surgeon in all the Cases, Hospital San Juan de Dios, Curico, Chile.

Received: January 19, 2021; Published: January 18, 2024

Abstract

This prospective study presents the results of the surgical management of distal radius fractures using the Minimally Invasive Plate Osteosynthesis (MIPO) technique between the years 2015 and 2019, with a follow-up of one year, which took place in Hospital San Juan de Dios in Curicó, Chile. The evaluated features were the type of fracture and surgical time. The functional scale was evalu- ated using the Patient Rated Wrist Evaluation (PRWE), other variables (which will be described further on) were also evaluated. The MIPO surgical approach performed in this study was mainly transverse, only in 2 cases a longitudinal one was used.
This type of surgical approach is increasingly used not only for cosmetic results, but for the quickest recovery of the patient and because its clinical and radiological results are comparable to those of the extended classical approach. This technique is mainly used in extra articular fractures or simple intra-articular fractures. In this study 35 patients were evaluated, of which 26 (72.22%) were men. The average age, during the 5 years of study, was 40.4 years in the male group (range 21 - 67) and 34.25 years in the female group (range 22 - 54). Regarding the classification of fractures, the classification proposed by the AO-ASIF was used, being the type 23-a2 and 23-a3 fractures the most common, the rest was distrib- uted between B3, C1 and C2 fractures. The shortest surgical time was 43 minutes, and the longest was 94 minutes, with an average surgical time -in the five years the study was conducted- of 73.49 minutes.
The functional outcomes of the patients were evaluated using the Patient Rated Wrist Evaluation (PRWE), the average results during the 5 years in both groups (men, women) were 27.82 in the follow up made 3 weeks after the operation and 6.53 in the final examination done 1 year after.
Finally, Range of Articular Movement (RAM) was evaluated 1 year after the operation, these were on average 79 - 78 degrees, wrist extension: 69 - 69 degrees, pronation: 90 - 85 degrees, wrist supination: 90-85 degrees in both groups of men and women respectively.
The MIPO technique is a beneficial option with a series of important advantages, but it must be known by the surgeon and duly indicated to obtain the best results.
It is a technique with a relatively fast learning curve, but even in experienced hands conversion to an open procedure may become necessary.

Keywords: Minimally Invasive Plate Osteosynthesis; Distal Radius Fracture; Range of Articular Movement (RAM)

References

Citation

Citation: Carlos Morales., et al. “Minimally Invasive Plate Osteosynthesis and Clinical Outcomes in Distal Radius Fracture".Acta Scientific Orthopaedics 7.2 (2024): 34-43.

Copyright

Copyright: © 2024 Carlos Morales., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.