scholarly journals Minimally Invasive Plate Osteosynthesis for a Distal Radius Fracture with Forearm Skin Problem

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Mayuko Kinoshita ◽  
Ahmed Zemirline ◽  
Chihab Taleb ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Radius ◽  
Skin Disorder ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Volar Locking Plate ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Locking Plate Osteosynthesis ◽  
The Right

In this study, we performed osteosynthesis for a distal radius fracture using a minimally invasive approach for a patient with skin disorder of the forearm and obtained favorable results. This case report may provide new findings confirming the usefulness of this surgical approach for distal radius fractures. Blister formation on the right forearm was observed in a 53-year-old female who was diagnosed with a distal fracture of the right radius and underwent splinting in a local hospital, and she was referred to our hospital 2 days after the injury. Minimally invasive locking plate osteosynthesis was performed, and there was no skin lesion at this incision site. Postoperatively, there were no complications in soft tissues and the operative scar was almost unrecognizable. We reported volar locking plate osteosynthesis using the minimally invasive approach in a patient with skin disorder of the forearm. Such patients are rarely encountered. However, this minimally invasive approach is extremely useful for utilizing the advantages of volar locking plate fixation without being affected by the soft tissue environment.

Comparison of 2 Surgical Approaches for Volar Locking Plate Osteosynthesis of the Distal Radius

2008 ◽  
Vol 33 (7) ◽  
pp. 1135-1143 ◽  
Author(s):  
Thomas Lattmann ◽  
Michael Dietrich ◽  
Christoph Meier ◽  
Martin Kilgus ◽  
Andreas Platz
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Surgical Approaches ◽  
Volar Locking Plate ◽  
Locking Plate Osteosynthesis

scholarly journals Relevant Insertion Site Anatomy of the Conventus Distal Radius System

Hand ◽  
2017 ◽  
Vol 13 (3) ◽  
pp. 341-345
Author(s):  
Jacob Duncan ◽  
Marc Trzeciak
Keyword(s):  
Patient Satisfaction ◽  
Minimally Invasive ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Insertion Site ◽  
Minimally Invasive Approach ◽  
Lateral Aspect ◽  
Invasive Approach ◽  
The Mean ◽  
Application Methods

Background: The Conventus Distal Radius System (DRS) is an intramedullary fixation scaffold inserted into the lateral aspect of the distal radius. The purpose of this study was to identify insertion site anatomy to illustrate risks associated with the minimally invasive nature of radial-sided implant application. Methods: Ten cadavers were utilized. Using fluoroscopy, the 1.1-mm Kirschner wire and template was introduced per manufacturer’s guidelines, access guide assembled, and dissection carried out to the superficial radial nerve (SRN) with preservation of the native location. The access guide marked the insertion location for the side-cut drill. This point was measured in relationship to structures nearby, including the SRN, brachioradialis (BR), lateral antebrachial cutaneous nerve (LABCN), and radial styloid (RS). Results: The large guide contacted the SRN in 4 of 10 cadavers and was volar to it in 6 of 10. When volar, the mean distance was 1.7 mm. The tip of the RS to the large access guide averaged 44.5 mm. The small guide contacted the SRN in 2 of 10, was volar to it in 4 of 10, and between the bifurcation in 4 of 10. When volar, the distance averaged 3.25 mm. When bifurcated, the distance from the small guide to both the dorsal and volar branches was 3.5 mm. The distance from the RS to the small guide averaged 37.8 mm. The LABCN was found in the field of dissection in 4 of 10 cadavers. Conclusions: Several structures are at risk during insertion of the Conventus DRS; thus, knowledge of the relevant anatomy of this minimally invasive approach is crucial to optimize outcomes and patient satisfaction, and to avoid nerve injury.

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