Minimally Invasive Plate Fixation for Distal Radius Fractures

Displaced distal radial fractures are frequently managed by open reduction and internal fixation. During fixation of distal radial fractures, the most important region of visualization is the fracture site and the distal plate area up to the volar capsular insertion. Compared to a modified Henry’s approach, a minimally invasive approach used by the author allows almost the same visualization of this distal area while still allowing utilization of all reduction techniques and fixation of the plate proximally within the pronator quadratus (PQ). The minimally invasive plating technique can be used in conjunction with arthroscopic reduction techniques for intra-articular fracture. The procedure can be simplified by using a short distal radial plate and a minimally invasive jig. The advantages of minimally invasive fixation include a cosmetic scar, preservation of the soft tissue envelope especially of PQ, stronger postoperative forearm rotation, less discomfort, and more rapid recovery of activities.