Abstract: Introduction: A distal radius fracture is a common injury that affects people of all ages. However, there are various therapy approaches that are controversial. The gold standard for treating distal radius fractures is yet unknown. Casting with or without closed reduction has long been considered a feasible option for treating distal radius fractures; alternative options include k-wire fixation and ligamentotaxis with external fixation. However, with limited function and impairments, the results are frequently poor. "Several studies have found that distal radius fractures treated with external fixation have good anatomical and functional outcomes, although there is a substantial risk of pin tract infection and nerve damage. Traditional open reduction and internal fixation frequently results in severe soft tissue dissection and periosteal damage, which can lead to infection, delayed union, and non-union. Fortunately, a new approach known as minimally invasive plate osteosynthesis [MIPO] has recently evolved, which can reduce soft tissue stripping and bone vascularity loss while improving fracture healing.
Materials and Methods: A prospective study of 25 patients with closed distal radius fractures were treated by MIPO technique with a T-Shaped palmar locking plate between July 2020 and December 2021 and were followed up for a period of 6 months.
Results: There were 11 males and 14 females with an average age of 55.6yrs. The average blood loss was around 55 ml approximately.13 patients obtained excellent results, nine cases had good results and three patients had moderate effects. The average DASH score after 6 months was about 10.6.
Conclusion: In conclusion, two small incisions to implant a palmar locking plate by MIPO for distal radius fractures give good functional results as soft tissue handling is better compared to the conventional method of plating. But further research also should be carried out to explore more suitable treatment for specific individuals.
