Abstract：Objective To compare clinical effects of minimal invasive percutaneous plate osteosynthesis （MIPPO）and ordinary forearm Henry approach palmar locking plate in treatment of distal radial fractures.Methods A retrospective analysis was conducted on the 38 patients with distal radius fracture treated by MIPPO technique and ordinary Henry approach palmar locking plate. The patients were randomly divided into MIPPO group (n=20) and Henry group (n=18). The two groups were compared in aspects of operation time, intraoperative blood loss, complications, fracture healing time, active range of motion of wrist joint and disabilities of the arm, shoulder and hand (DASH) score. Results Duration of followup was 12 to 18 months (average 15.5 months). DASH score in MIPPO group［（6.16±2.45）points］ was better than that in Henry group［（10.94±4.25）points］(P<0.05). MIPPO group showed a shorter operation time (P<0.05) and less intraoperative blood loss (P<0.05) than Henry group. However, there were no significant differences between the two groups regarding fracture healing time, complications, active movement range of wrist joint. Conclusion MIPPO technique and Henry approach palmar locking plate are both effective in treatment of distal radial fractures.
WEI Xuming,SUN Zhenzhong,SONG Xiao-jun et al. Effect comparison of percutaneous minimal invasive approach and Henry approach in treatment of distal radial fractures with palmar locking plate[J]. CHINESE JOURNAL OF TRAUMA, 2013, 29(2): 141-145.
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