{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:31:59Z","timestamp":1777890719888,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2021,1,15]]},"abstract":"<jats:p>BACKGROUND: The volar locking plate technique with an L-shaped incision of the PQ muscle through the classic volar Henry approach is a popular method for treating distal radius fractures. Recently we revised and improved this traditional technique by performing mini-invasive surgery. OBJECTIVE: The purpose of this study was to evaluate the clinical effects after fixation of distal radius fracture with volar locking palmar plates while preserving the pronator quadratus through minimally invasive approach. METHODS: From May 2014 to March 2017, 58 patients (38 males and 21 females) with an age range of 22\u201372 years (mean age 44.6 years) and with distal radius fractures underwent open reduction and internal fixation with volar locking palmar plates. The patients were classified as 23A-2 through 23C-2 according to the Orthopedic Trauma Association fracture classification system. All surgeries were completed by one trained team. The group that received volar locking palmar plates of distal radius performed with the traditional method through Henry approach involved 33 patients (21 males and 12 females) and the group that received PQ through minimally invasive approach group involved 25 patients (16 males and 9 females). We compared the two groups for wrist pain, forearm range of motion, grip strength, preoperative complications and wrist functional recovery score. RESULTS: The minimum follow-up for the whole cohort was one year. The differences between the two groups were significant in terms of wrist pain, forearm range of motion, grip strength and wrist function at 1, 2, 6 weeks postoperatively, but insignificant at 3 and 12 months postoperatively. In the minimally invasive group a case of limited extension of the forefinger 3 months postoperatively was found. No significant differences were found for preoperative complications and radiographs postoperatively. CONCLUSION: Fixation with volar locking palmar plates through minimally invasive approach is a satisfactory and optional method in the treatment of distal radius fractures. This technique yields better early wrist function, shortens rehabilitation time and gets high psychological satisfaction.<\/jats:p>","DOI":"10.3233\/thc-192113","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T13:56:02Z","timestamp":1591710962000},"page":"167-174","source":"Crossref","is-referenced-by-count":9,"title":["Fixation of distal radius fracture with volar locking palmar plates while preserving pronator quadratus through the minimally invasive approach"],"prefix":"10.1177","volume":"29","author":[{"given":"Jian","family":"Fan","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"},{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Jiading District Central Hospital, Shanghai University of Medicine and Health Sciences, Shanghai, China"},{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia-qing","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan-Zhu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Ming","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"6","key":"10.3233\/THC-192113_ref1","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/S0363-5023(03)00487-8","article-title":"Influence of the pronator quadratus and supinator muscle load on DRUJ stability","volume":"28","author":"Gordon","year":"2003","journal-title":"J Hand Surg Am."},{"issue":"1","key":"10.3233\/THC-192113_ref2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.2106\/JBJS.G.01498","article-title":"Operative management of distal radial fractures with 2.4-millimeter locking plates. A multicenter prospective case series","volume":"91","author":"Jupiter","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"16","key":"10.3233\/THC-192113_ref3","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.2106\/JBJS.9516icl","article-title":"Complications of distal radial and scaphoid fracture treatment","volume":"95","author":"Meyer","year":"2013","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"10.3233\/THC-192113_ref4","doi-asserted-by":"crossref","first-page":"369","DOI":"10.5435\/00124635-200906000-00005","article-title":"Complications of volar plate fixation for managing distal radius fractures","volume":"17","author":"Berglund","year":"2009","journal-title":"Journal of the American Academy of Orthopaedic Surgeons."},{"issue":"5","key":"10.3233\/THC-192113_ref5","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.jhsa.2011.02.005","article-title":"Asystematic review of outcomes and complications of treating unstable distal radius fractures in the elderly","volume":"36","author":"Diaz-Garcia","year":"2011","journal-title":"J Hand Surg Am."},{"issue":"3","key":"10.3233\/THC-192113_ref6","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/BOT.0b013e3182539333","article-title":"The effects of pronator quadratus repair on outcomes after volar plating of distal radius fractures","volume":"27","author":"Hershman","year":"2013","journal-title":"J Orthop Trauma."},{"issue":"1","key":"10.3233\/THC-192113_ref7","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/BTH.0b013e3180cac281","article-title":"Minimally invasive plate osteosynthesis of distal radius fractures using a pronator sparing approach","volume":"12","author":"Sen","year":"2008","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"16","key":"10.3233\/THC-192113_ref8","doi-asserted-by":"crossref","first-page":"2929","DOI":"10.3760\/cma.j.issn.0366-6999.20131636","article-title":"Effect of fixing distal radius fracture with volar locking palmar plates while preserving pronator quadratus","volume":"127","author":"Fan","year":"2014","journal-title":"Chinese Medical Journal."},{"issue":"9","key":"10.3233\/THC-192113_ref9","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1302\/0301-620X.90B9.20521","article-title":"Bridgingexternal fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: a randomised,prospective trial","volume":"90","author":"Egol","year":"2008","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"10.3233\/THC-192113_ref10","first-page":"140","article-title":"Clinical effect of distal radius fracture treated with open reduction and internal plate fixation","volume":"125","author":"Zhang","year":"2012","journal-title":"Chin Med J."},{"key":"10.3233\/THC-192113_ref11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/01.blo.0000205891.96575.0f","article-title":"Current concepts in volar fixed angle fixation of unstable distal radius fractures","volume":"445","author":"Orbay","year":"2006","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"10.3233\/THC-192113_ref12","first-page":"46","article-title":"Outcome after open reduction and internal fixation of capitellar and trochlear fractures","volume":"88","author":"Dubberley","year":"2006","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"10.3233\/THC-192113_ref13","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/S0363-5023(05)80136-4","article-title":"The arterial blood supply of the distal radius and ulna and its potential use in vascularized pedicled bone grafts","volume":"20","author":"Sheetz","year":"1995","journal-title":"J Hand Surg Am."},{"issue":"2","key":"10.3233\/THC-192113_ref14","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/J.JHSB.2004.12.009","article-title":"Minimally invasive plate osteosynthesis for comminuted fractures of the metaphysis of the radius","volume":"30","author":"Imatani","year":"2005","journal-title":"J Hand Surg Br."},{"key":"10.3233\/THC-192113_ref15","first-page":"280","article-title":"Minimally invasive plate osteosynthesis for distal radius fractures: surgical technique","volume":"3","author":"Tobe","year":"2006","journal-title":"Riv Chir Mano."},{"issue":"6","key":"10.3233\/THC-192113_ref16","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s00590-013-1364-1","article-title":"Distal radius fixation through a mini-invasive approach of 15 mm. Part 1: feasibility study","volume":"24","author":"Zemirline","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"3","key":"10.3233\/THC-192113_ref17","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s00776-013-0371-8","article-title":"Less invasive surgery with wrist arthroscopy for distal radius fracture","volume":"18","author":"Abe","year":"2013","journal-title":"J Orthop Sci."},{"issue":"6","key":"10.3233\/THC-192113_ref18","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1007\/s00590-013-1363-2","article-title":"Distal radius fixation through a mini-invasive approach of 15 mm. Part 1: a series of 144 cases","volume":"24","author":"Lebailly","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"2","key":"10.3233\/THC-192113_ref19","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/BTH.0000000000000118","article-title":"Possibility of fixation of a distal radius fracture with a volar locking plate through a 10 mm approach","volume":"20","author":"Naito","year":"2016","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"5","key":"10.3233\/THC-192113_ref20","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.jhsa.2017.12.018","article-title":"Prospective observational assessment of unicortical distal screw placement during volar plate fixation of distal radius fractures","volume":"43","author":"Dardas","year":"2018","journal-title":"Hand Surg Am."}],"container-title":["Technology and Health Care"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/THC-192113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:44:18Z","timestamp":1777614258000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/THC-192113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,15]]},"references-count":20,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3233\/thc-192113","relation":{},"ISSN":["0928-7329","1878-7401"],"issn-type":[{"value":"0928-7329","type":"print"},{"value":"1878-7401","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,15]]}}}