Minimally invasive percutaneous "three point & two step" procedure: a novel operation for type II Galeazzi fracture without severing pronator quadratus

Purpose: To explore the clinical efficacy of minimally invasive percutaneous internal fixation "three point & two step" procedure for type II Galeazzi fracture without severing pronator quadratus. Methods: : Patients admitted to the orthopedic department between December 2018 and February 2022 owing to type II Galeazzi fracture were eligible for analysis.All participants underwent "three point - two step", minimally invasive percutaneous, plate internal fixation, and were assessed for the surgical duration, intraoperative blood loss, postoperative fracture healing, and functional recovery of the affected limb. Results: : The follow-up duration was 20.5 ± 10.7 months; the distal incision was 27.5 ± 2.5 mm and the proximal incision was 35 ± 3.78 mm; overall 38.21 ± 30.27 ml of intraoperative blood loss occurred among the analyzed patients; otherwise, all patients showed good alignment of the lower ulnar and radial joints, with no fracture nonunion. The patients received DASH and Mayo scores of 6.37 ± 1.24 and 88.21 ± 8.99, respectively, at 6 months post operation, and exhibited an excellent rate of 85.7%. Conclusions: : The minimally invasive percutaneous internal "three point & two step" fixation for type II Galeazzi fracture has the advantages of minimal trauma, rapid recovery, and maximal regaining of wrist function. Thus, this procedure should be clinically promoted.