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Journal of Hand Surgery (British and European Volume)
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Articles

Minimally Invasive Plate Osteosynthesis for Comminuted Fractures of the Metaphysis of the Radius

J. IMATANI
T. NODA
Y. MORITO
T. SATO
H. HASHIZUME
H. INOUE

From the Department of Orthopaedic Surgery, Okayama Saiseikai General Hospital, Japan and Science of Functional Recovery and Reconstruction, Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine and Dentistry, Japan

Correspondence: Dr Junya Imatani, M.D., Department of Orthopaedic Surgery, Okayama Saiseikai General Hospital, 1-17-18 Ifuku-cho, Okayama 700-0851, Japan. Tel.: +81 86 252 2211; fax: +81 86 255 2224. E-mail: imatani{at}saiseidr.jp

Five comminuted and displaced fractures of the distal metaphysis of the radius were treated by a technique of minimally invasive plate osteosynthesis (MIPO) with the aim of minimizing soft tissue damage and devascularization of the fracture fragments. This technique used the small AO T-shaped locking compression plate (AO LCP T-plate) and left the pronator quadratus intact. Radial inclination, palmar tilt, and ulnar variance were restored without loss of reduction in all five cases and the fractures healed at an average of 10 weeks, with good to excellent clinical outcomes.

Key Words: minimally invasive • plate osteosynthesis • fracture • metaphysis • radius • distal radius

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 2, 220-225 (2005)
DOI: 10.1016/J.JHSB.2004.12.009
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