title: Treatment of the distal fracture in radioulna based on the volar wrist dual channel approach and postoperative X-ray diagnosis.
abstract: The fracture of the distal ulna and radius is a kind of fracture that results in high morbidity and occurrence rate and contributes to about one-sixth of the entire body's fracture. In this study, we implemented the improved palmar wrist surgery by a volar wrist dual channel approach. Between 2011 and 2014, we have treated 67 distal radius fracture patients. We divided them into two parts randomly, and treat them by the Carpometacarpal direct approach solution and dual wrist palmar surgical approach solution respectively. After the surgery, the differences in the incidence of median nerve irritation are significant (P < 0.01). With reference to the exposure time of fracture, the operation time and the pronator quadratus muscle repair rate, we find that the exposure time of fracture and the operation time in the dual wrist palmar surgical approach solution are much less than that as compared to the Carpometacarpal direct approach solution (P < 0.01). The improved dual wrist palmar surgical approach can lead to a successful treatment of the distal radius fractures volar distal radial ulnar by reducing the blind exposure problem. As such, the surgeon can complete treatment of fractures of the region under direct vision during operation. Furthermore, reducing the median nerve in the carpal tunnel and the structure of the stretch can decrease the incidence of postoperative complications. Postoperative X-ray diagnosis is then performed to examine the patients' recovery and assist in clinical follow-up. Our study proves that the volar wrist dual channel approach can be successfully achieved by a surface incision surgical implementation of the dual channel, and gives rise to a minimally invasive operation.
authors.affiliation: Department of Anatomy, Southern Medical University, No. 1023 Shatainan Rd, Guangzhou, 510515, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Zhenwei
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Shaoxiao
authors.initials: S
authors.lastname: Yu
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Yinwei
authors.initials: Y
authors.lastname: Bai
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Huixin
authors.initials: H
authors.lastname: Lin
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Jinhao
authors.initials: J
authors.lastname: Zeng
authors.affiliation: Department of Hand Surgery, Shenzhen Shajing Hospital Affiliated to Guangzhou Medical University, Shenzhen, 518104, China.
authors.forename: Xuelang
authors.initials: X
authors.lastname: Ye
authors.affiliation: Department of Anatomy, Southern Medical University, No. 1023 Shatainan Rd, Guangzhou, 510515, China. chjcana@126.com.
authors.forename: Dachuan
authors.initials: D
authors.lastname: Xu
mesh_terms: D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D014458:Ulna Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D055815:Young Adult
keywords: Distal radioulna volar surface; Distal radius fracture; Postoperative X-ray diagnosis; Volar direct approach; Volar wrist dual channel approach