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작은 단일 피부 절개로 최소 침습적 금속판 내고정술을 시행한 원위 요골 골절의 치료 결과

Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures

대한골절학회지 2020년 33권 2호 p.72 ~ 80
김영성, 김종필, 정필현, 이호민, 고보성,
소속 상세정보
김영성 ( Kim Young-Sung ) - Dongguk University College of Medicine Department of Orthopaedic Surgery
김종필 ( Kim Jong-Pil ) - Dankook University College of Medicine Department of Orthopedic Surgery
정필현 ( Chung Phil-Hyun ) - Dongguk University College of Medicine Department of Orthopaedic Surgery
이호민 ( Lee Ho-Min ) - Dongguk University College of Medicine Department of Orthopaedic Surgery
고보성 ( Go Bo-Sung ) - Dongguk University College of Medicine Department of Orthopaedic Surgery

Abstract


Purpose: This study compared minimally invasive plate osteosynthesis (MIPO) using a single small skin incision and conventional open volar locking plate fixation (OP) for distal radius fracture to identify outcome difference.

Materials and Methods: Forty-three patients who underwent MIPO using a single small skin incision or OP for distal radius fractures were evaluated retrospectively. Of the patients, 21 were treated with MIPO using a single small skin incision and 22 with the OP method through the conventional volar approach. The postoperative radiographic results and clinical outcomes at the final follow-up in each group were compared.

Results:
All patients achieved bone union in the MIPO and OP groups. No significant differences in the bone union time, alignment, range of motion, QuickDASH, or pain score were observed. On the other hand, the size of the incision was significant: 23 mm in the MIPO group and 55 mm in the OP group (p<0.001).

Conclusion: MIPO technique using a single small incision showed similar satisfactory radiographic and functional outcomes compared to conventional OP for distal radius fractures. The MIPO technique using a single small incision offered advantages, including cosmetic benefits and minimal soft tissue damage, is recommended, particularly in young women and high functional demand patients.

키워드

Distal radius fracture; Open plating; Minimally invasive plate osteosynthesis; Single-incision

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