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A Pronator Teres–sparing Volar Approach for Osteosynthesis of Midshaft Diaphyseal Radius Fractures

McLean, James M. MS, MBBS, FRACS, FAOrthA*,†,‡; Stevenson, Aaron W. MBBS†,‡,§; Samson, Anthony BMBS†,‡; Watts, Adam C. MBBS BSc, FRCS (Tr. And Orth.); Daneshvar, Parham MD, BSc, FRCSC; Constant, Christopher R. MA(Cantab), LLM, MCh, FRCS#

Techniques in Hand & Upper Extremity Surgery: December 2015 - Volume 19 - Issue 4 - p 138–142
doi: 10.1097/BTH.0000000000000095
Techniques

Henry’s approach is widely considered the “workhorse” for exposing the volar radius and has not really changed since his original description in 1945. We describe a pronator teres–sparing volar approach to the forearm, for osteosynthesis of midshaft diaphyseal radius fractures. We believe this approach is safe, simple, and reproducible, and has several practical and theoretical advantages over Henry’s original description.

*Division of Orthopaedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge

Upper Limb Unit, Wrightington Hospital, Lancashire

#The Evelyn Cambridge Surgical Training Centre, Hertfordshire, UK

Discipline of Orthopaedics and Trauma, University of Adelaide

University of Adelaide Centre for Orthopaedic and Trauma Research, Royal Adelaide Hospital, Adelaide, SA, Australia

§Department of Pediatric Orthopedics, Shriners Hospital, Portland, OR

Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada

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Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to James M. McLean, MS, MBBS, FRACS, FAOrthA, Division of Orthopaedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK. E-mail: dr.jm.mclean@me.com.

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