Orthopaedics & traumatology, surgery & research : OTSR · 2026
A proposed surgical strategy for complex articular distal radius fractures: The Marseille approach for radius salvage (MARS).
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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de Villeneuve Bargemon Jean-Baptiste, Brenac Camille, Carpentier Tim, Audiffret Lucas, Dubian Rémy, Martins Antoine
Аннотация
INTRODUCTION: Complex intra-articular distal radius fractures with severe comminution or fragment rotation may be difficult to reduce using conventional fixation. We describe a dorsal salvage strategy, the Marseille Approach for Radius Salvage (MARS), enabling direct articular visualization in selected cases.
HYPOTHESIS: The MARS strategy allows reliable reduction and acceptable short-term functional outcomes in fractures not amenable to standard fixation.
MATERIALS AND METHODS: Single-center prospective case series (May 2021-October 2025). CT assessed reduction quality (step-off ≤ 2 mm). Functional outcomes at 1 year included motion, grip strength, pain, and QuickDASH.
RESULTS: Among 252 intra-articular fractures, 12 patients were included. All achieved satisfactory reduction on CT with maintenance at 6 months. At 1 year, pronosupination was preserved with mild extension loss and satisfactory pain and QuickDASH scores. One superficial infection and one mild tendon irritation requiring plate removal occurred; no tendon ruptures or CRPS were observed.
DISCUSSION: The MARS strategy enables direct articular visualization and stable reconstruction and may be useful in fracture-dislocations or markedly rotated fragments where conventional techniques are challenging.
CONCLUSION: MARS strategy represents a pragmatic salvage option for highly complex intra-articular distal radius fractures when conventional strategies are insufficient.
LEVEL OF EVIDENCE: III; Prospective case series.
HYPOTHESIS: The MARS strategy allows reliable reduction and acceptable short-term functional outcomes in fractures not amenable to standard fixation.
MATERIALS AND METHODS: Single-center prospective case series (May 2021-October 2025). CT assessed reduction quality (step-off ≤ 2 mm). Functional outcomes at 1 year included motion, grip strength, pain, and QuickDASH.
RESULTS: Among 252 intra-articular fractures, 12 patients were included. All achieved satisfactory reduction on CT with maintenance at 6 months. At 1 year, pronosupination was preserved with mild extension loss and satisfactory pain and QuickDASH scores. One superficial infection and one mild tendon irritation requiring plate removal occurred; no tendon ruptures or CRPS were observed.
DISCUSSION: The MARS strategy enables direct articular visualization and stable reconstruction and may be useful in fracture-dislocations or markedly rotated fragments where conventional techniques are challenging.
CONCLUSION: MARS strategy represents a pragmatic salvage option for highly complex intra-articular distal radius fractures when conventional strategies are insufficient.
LEVEL OF EVIDENCE: III; Prospective case series.