Modified Minimally Invasive Reduction and Osteosynthesis System Technique for Fixation of Distal Radius.

Atanu Mohanty, Anuraag Mohanty, Jitendra Sarangi, Sibananda Ratha, Rabindra Kumar Nayak
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Abstract

Aim & background: Distal radius fractures are among the most frequently encountered bone injuries. Percutaneous pinning with a modified minimally invasive technique offers a less invasive alternative to conventional surgical interventions. This study aims to evaluate the early functional outcomes of this technique in managing distal radius fractures. Optimal management relies on precise anatomical alignment, minimal soft-tissue disruption, and prompt initiation of wrist rehabilitation. The objective is to assess the early functional outcomes of distal radius fractures treated with percutaneous pinning using a modified minimally invasive approach in adults.

Materials & methods: A prospective study was carried out on 20 adult patients presenting with distal radius fractures. All patients underwent percutaneous pinning using a modified technique and were monitored over 6 months at Jajati Kesari Medical College and Hospital, Jajpur, Odisha. Functional recovery was evaluated postoperatively using Cooney's adaptation of the Green and O'Brien scoring system.

Results: Among the 20 participants, 9 (45%) demonstrated good functional outcomes, 9 (45%) had fair outcomes, and 2 (10%) had poor outcomes based on the Green and O'Brien scoring criteria.

Conclusion: The modified percutaneous fixation technique offers promising results in terms of fracture stabilization and early functional recovery. To confirm these findings, future research should be conducted with larger sample sizes.

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桡骨远端固定术的改良微创复位与植骨系统技术。
目的与背景:桡骨远端骨折是最常见的骨损伤之一。经皮钉钉与改进的微创技术提供了一种微创替代传统手术干预。本研究旨在评估该技术治疗桡骨远端骨折的早期功能结果。最佳的管理依赖于精确的解剖对齐,最小的软组织破坏,并及时开始手腕康复。目的是评估桡骨远端骨折采用改良微创入路经皮钉钉治疗的早期功能结果。材料与方法:对20例桡骨远端骨折的成人患者进行前瞻性研究。所有患者均采用改良技术经皮穿刺固定,并在奥里萨邦贾吉普尔的贾贾蒂·科萨里医学院和医院监测6个月以上。术后功能恢复采用Cooney的Green和O'Brien评分系统进行评估。结果:在20名参与者中,根据Green和O'Brien评分标准,9名(45%)表现出良好的功能结果,9名(45%)表现出一般的结果,2名(10%)表现出较差的结果。结论:改良的经皮内固定技术在骨折稳定和早期功能恢复方面具有良好的效果。为了证实这些发现,未来的研究应该进行更大的样本量。
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