title: Fixed angle fixation of distal radius fractures through a minimally invasive approach.
abstract: Treating unstable distal radius fractures in osteoporotic patients remains a challenge for the surgeon. Fixed angle plate fixation requires ample surgical dissection but has been shown to improve stability, allow early functional use of the hand and facilitate rehabilitation. We herein describe a treatment method that provides the benefits of fixed angle fixation while utilizing a minimally invasive approach. Stability is achieved by the use of a new implant that is placed through a small dorsal incision and minimizes extensor tendon disruption. This method finds application in the unstable extra-articular fracture of the high risk patient where minimal surgical morbidity is desirable and when reduction can be obtained without the need of extensive dissection. Clinical examples are fractures in the elderly patient where confusion can follow prolonged anesthesia, fractures in the patient with a bleeding disorder where a small wound volume is desirable and fractures in the polytraumatized patient where surgical time must be kept to a minimum. This technique allows anatomic reduction and stable fixation to be achieved in a short operative time and with minimal surgical insult while providing the compromised patient with a rapid recovery.
authors.affiliation: Miami Hand Center, Miami, Florida 33176, USA. jlorbay@aol.com
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Orbay
authors.forename: Amel
authors.initials: A
authors.lastname: Touhami
authors.forename: Carolina
authors.initials: C
authors.lastname: Orbay
mesh_terms: D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D010024:Osteoporosis / Q000150:complications / Q000601:surgery; D026741:Physical Therapy Modalities; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*