Reduced Incision Surgical Fixation of Diaphyseal Forearm Fractures in Adults through a Minimally Invasive Volar Approach: 通過微創前側進路來進行小切口手術固定成人的前臂骨幹骨折

Abstract

PurposeThe study aimed to describe and evaluate the minimally invasive volar approach to the forearm for open reduction and internal fixation of diaphyseal radius fractures. MethodsThis is a matched case-control study involving patients with diaphyseal forearm fractures operated by one orthopaedic surgeon over 2 years. Cases underwent a minimally invasive volar approach, whereas controls underwent a standard Henry’s approach. In total, 17 cases and 17 controls were studied based on patient demographics, injury patterns, and surgical outcomes. ResultsThe duration of surgery was significantly shorter for cases than for controls in combined radius and ulna fracture fixation (58.8 minutes vs. 84 minutes; p=0.03). There was no significant difference in operative time for isolated radius fractures, hospitalisation duration, and time to return to work. No malalignment or complications were observed. ConclusionThe minimally invasive volar approach to the forearm is as safe and efficacious as traditional approaches in the fixation of diaphyseal radius fractures.