Distal Radius Fracture
Conditions
Interventions
2-cm minimally invasive incision group:A 2-cm longitudinal incision was made proximal to the wrist crease. The skin and subcutaneous tissue were incised, and dissection was performed deeply between th
conventional open incision group:A standard 6–10 cm Henry approach was used. The pronator quadratus was fully released and elevated. Reduction and plate fixation were performed under direct vision. Wo
Sponsors
Shishi City Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 75 years, regardless of sex; 2. Acute fracture occurring within 14 days, confirmed by X-ray or CT as a closed unstable distal radius fracture (AO/OTA type 23-A2 to C3), defined as dorsal angulation >20°, radial shortening >5 mm, or articular step-off >2 mm; 3. Able to understand and voluntarily sign the informed consent form, with good compliance and ability to complete postoperative follow-up; 4. No contraindications to surgery.
Exclusion criteria
Exclusion criteria: 1. Open fractures or fractures accompanied by neurovascular injury (e.g., median nerve palsy); 2. Severe comminuted fractures requiring dual (volar and dorsal) approaches, or multiple fractures and polytrauma; 3. Severe comorbidities, including uncontrolled diabetes mellitus, active cardiac disease, renal insufficiency, or malignancy; 4. Pregnant or lactating women, or those planning pregnancy; 5. History of previous wrist surgery, psychiatric disorders that could affect compliance, or inability to complete scheduled follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| DASH score; | — |
Secondary
| Measure | Time frame |
|---|---|
| operative time;blood loss;VAS pain scores;wound satisfaction;radiographic parameters;time to union;complications; | — |
Countries
China
Contacts
Public ContactDawei Zhang
Shishi City Hospital
Outcome results
None listed