A COMPARISON OF PRONATOR QUADRATUS-SPARING APPROACH AND THE CONVENTIONAL APPROACH FOR INTERNAL FIXATION OF DISTAL RADIAL FRACTURES USING VOLAR LOCKING PLATE

Abstract

Distal radius fractures represent the most prevalent type of fracture in the upper limb, occurring at a rate of 2 fractures for every 1,000 person-years. Over the past 25 years, the use of open reduction and internal fixation for distal radius fractures has grown significantly, with a notable rise in the popularity of volar plating. This method yields superior functional and radiological outcomes in comparison to alternative surgical techniques. To properly place the volar plate at the fracture site, the surgeon must separate the pronator quadratus muscle from its distal and radial attachments and elevate it to achieve optimal visibility of the fracture.The Pronator Quadratus-Sparing Approach represents a less invasive and destructive surgical technique. An intact pronator quadratus serves as an effective barrier against prominent hardware and superficial infections. Following the procedure, patients demonstrated a swift recovery of grip strength, with minimal disruption to their rotational motion.AIMOFTHE WORK:The aim of this study was to compare between the results of Pronator Quadratus-Sparing approach and conventional approach for volar plating of distal radial fractures.