title: Minimally invasive hardware removal after minimally invasive distal radius plate osteosynthesis (MIPO): Feasibility study in a 388 case series.
abstract: The aim of the present study was to assess the technical feasibility of minimally invasive volar plate removal following distal radius fracture.
  
  
  
  Three hundred and eighty-eight plates removed from 387 patients (357 females: mean age, 50 years) were assessed retrospectively. The incision used the primary minimally invasive approach and was closed after plate removal by intradermal continuous suture, without drainage or immobilization.
  
  
  
  Mean scar size was 22.2mm preoperatively, and the incision was 19.8mm at start and 21.4mm at end of procedure, these differences being non-significant. The scar was enlarged by accidental skin tear in 13 cases and intentionally by lancet in 11 cases. There were 29 screw-related complications, 1 bone crack without clinical impact, and 1 plate fracture. There were no postoperative complications.
  
  
  
  The present results demonstrate the feasibility of removing a volar plate on the distal radius via a 20-mm approach. These findings should be confirmed on a future study comparing minimally invasive plate ablation and conventional approaches.
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: P
authors.initials: P
authors.lastname: Luigi Medda
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Matheron
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hidalgo Diaz
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: N
authors.initials: N
authors.lastname: Maire
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: P
authors.initials: P
authors.lastname: Vernet
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D001860:Bone Plates; D002921:Cicatrix / Q000473:pathology; D020878:Device Removal / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011885:Radius Fractures / Q000601:surgery*; D012189:Retrospective Studies
keywords: Distal radius fracture; Hardware removal; MIPO; Minimally invasive; Volar plate