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ARTHROSCOPY-ASSISTED REDUCTION OF DISTAL RADIAL FRACTURES: INITIAL APPLICATION AND LITERATURE REVIEW
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Abstract
Introduction: Arthroscopy-assisted osteosynthesis is an innovative method for treating distal radius fractures, facilitating precise realignment of the joint surface and management of concomitant soft tissue injuries. This paper presents the preliminary treatment of difficult distal radius fractures utilizing this technology and examines the literature to assess the technique's efficacy and safety. Methods and materials: Two patients with distal radius fractures underwent surgical intervention utilizing plate-screw fixation facilitated by endoscope. Clinical data, X-rays, surgical results, wrist function (MMWS and DASH), and complications were gathered. A literature review was performed on PubMed, Cochrane Library, and Scopus utilizing the keywords: "distal radius fracture," "arthroscopy-assisted," and "internal fixation." Results: Both patients attained favorable outcomes post-surgery, exhibiting well-aligned joint surfaces on X-ray. After six months, the Mayo Modified Wrist Score exceeded 90, and the DASH Score was below 15, with no problems seen. The literature indicates that this approach yields favorable anatomical and functional recovery outcomes, accompanied by a low complication rate, surpassing traditional bone fixation in regulating the joint surface and addressing related injuries. Conclusion: Osteosynthesis with arthroscopy-assisted is an effective and safe method for distal radius fractures involving the joint. This technique helps achieve good anatomical and functional recovery, detects associated injuries, and minimizes complications.
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Keywords
Distal radial fracture, osteosynthesis, arthroscopy-assisted
References
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