Background : Our aim in this study to evaluate and compare the short- and mid-term clinical results of two surgical techniques ( arthroscopic suture anchor versus double-tunnel transosseous repair ) for foveal tears of Triangular Fibrocartilage Complex (TFCC). Methods: Patients who underwent foveal TFCC repair with arthroscopic transosseous tunnel and suture-anchor were identified. Demographic data of patients, duration of surgery, number of fluoroscopy shots, post-operative symptoms, wrist range of motion (ROM), grip strength, Quick Disabilities of Arm, Shoulder and Hand (qDASH) Score, Mayo wrist score, Visual Analogue Scale (VAS) score was evaluated. Two groups were formed from the patients who participated in the study. Results: Group I consisted of 10 patients treated with double-tunnel transosseous technique, and Group II consisted of 16 patients treated with suture-anchor technique. The mean number of C-arm fluoroscopy for Group I (6.8±1.9) was significantly higher than Group II (2.7±1.2) (p=0.000). There was no change in postoperative joint ROM in both groups. There were significant improvements in QuickDASH (qDASH), Mayo wrist score and grip strength in both groups. Comparison of the groups revealed no significant difference in pre- and postoperative wrist range of motion (p=0.509) and grip strength improvement (p=0.523). qDASH and VAS scores were similar between the two groups (p=0.692 and p= 0.851, respectively). The number of patients whose postoperative symptoms did not improve was similar in both groups (p=0.851). Conclusion: Both suture-anchor and transosseous tunnel fixation methods yield similar clinical results. However, the transosseous technique required more fluoroscopy shots.
Ganglion cysts (GCs) are the most common benign soft tissue tumors of the wrist, most commonly located dorsally and less commonly volarly. Accurate identification of the pedicle (stalk) connecting the cyst to the joint from which it originates is crucial for successful surgical planning and preventing recurrence. In this case report, we present a rare case of GC, which appeared to be volar-radial on physical examination but was shown to be connected to the dorsal scapholunate joint by magnetic resonance imaging (MRI). Based on preoperative MRI findings, open surgical excision was performed, and the pedicle\'s relationship with the scapholunate joint was confirmed intraoperatively. Following surgery, painless, full range of motion was achieved, and no recurrence was observed. This case highlights that the pedicle of volarly located cysts may have a dorsal origin and that preoperative MRI identification of the distal pedicle pattern increases surgical safety.
Objective: Dorsal wrist ganglion cysts are common benign tumors of the upper extremity. Although surgical excision is often effective, recurrence remains a significant concern. This study aimed to assess whether demographic and radiographic features can predict recurrence following surgical excision. Methods: A retrospective review was conducted of 115 patients who underwent open excision of dorsal wrist ganglion cysts between 2017 and 2022. Patients were categorized based on cyst recurrence. Preoperative wrist radiographs were evaluated for radial inclination, radial height, palmar tilt, ulnar variance, radioscaphoid angle, radiolunate angle, capitolunate angle, and scapholunate angle. Demographic and clinical data were also collected. Binary logistic regression was used to identify independent predictors. Results: Recurrence occurred in 25 patients (21.7%), significantly more common among females (p = 0.008) and those with increased radial height (p = 0.006). Multivariate analysis confirmed female gender (OR: 3.65; p = 0.04) and radial height (OR: 1.466; p = 0.003) as independent predictors. ROC analysis showed moderate accuracy for radial height (AUC: 0.668), with a cutoff of 12.5 mm. Conclusion: Female gender and greater radial height are associated with increased risk of recurrence. Radiographic assessment may assist in risk stratification, though prospective validation is warranted.
Background: Ulnar impaction syndrome (UIS) is a painful wrist disorder caused by increased load transmission and repetitive impaction between the ulna and lunate, often accompanied by triangular fibrocartilage complex (TFC) tears. While typically associated with ulna-positive variance, asymptomatic ulna-positive individuals are common in the general population. Objective: To compare selected posteroanterior radiographic parameters of the distal radius and lunate between symptomatic UIS patients and asymptomatic individuals. Methods: This retrospective comparative study included 31 patients with symptomatic UIS (19 females, 12 males) and 85 asymptomatic controls (46 females, 39 males) with an ulnar variance of +1 to +5 mm. Five distal radial parameters radial inclination (RI), radial height (RH), scaphoid facet inclination (SFI), lunate facet inclination (LFI), and interfacet angle (IFA), and three carpal parameters lunate shift ratio (LSR), capitate shift ratio (CSR), and lunate midcarpal morphotype were measured and results were compared. Results: RI, SFI, and RH were significantly higher in UIS patients compared with controls, particularly in females. Carpal shift parameters also tended to be higher in patients, with CSR showing more consistent differences than LSR. Type I lunate morphology was more prevalent in female UIS patients. Moderate to strong correlations were found between certain radial and carpal parameters. Conclusions: Increased radial inclination, Increased SFI, and specific carpal morphology patterns may contribute to ulnar-side carpal shift, potentially predisposing ulna-positive individuals to symptomatic UIS. CSR may serve as a more reliable measure of carpal shift than LSR.
Objective: To compare the functional outcomes of the delta frame (DF) and extension block pinning (EBP) techniques in the surgical treatment of mallet finger injuries and to develop a new classification system for outcome assessment. Methods: Twenty-eight patients who underwent surgery for mallet finger between 2022 and 2025 were retrospectively evaluated in this study. 10 patients underwent DF fixation, and 18 underwent EBP. Functional outcomes were assessed using the Mallet-modified fingertip injury score (M-FIOS), Michigan Hand Questionnaire (MHQ), and Crawford classification. Demographic data, surgical duration, quantity of fluoroscopies, and complications were documented. Results: There were no differences in age, sex, affected side, and injury type between groups (p>0.05). The EBP group had a higher chronic case rate (38.9% vs. 0.0%; p=0.030). The DF group had a longer operation time (68.0±10.9 vs. 36.7±16.8 min; p<0.001) but achieved a higher overall mean MHQ score (83.3 vs. 65.6; p<0.001). Significant differences favoring the DF group were noted in MHQ subscales for daily living (p=0.028), work performance (p<0.001), pain (p=0.005), aesthetics (p=0.002), and satisfaction (p=0.003). All DF patients had excellent Crawford classification results. Complications occurred in 16.7% of EBP patients and 20.0% of DF patients. Conclusion: Despite longer surgical times, the DF technique for mallet finger treatment results in better patient satisfaction, pain control, and functional outcomes compared to EBP. It is a reliable alternative, especially for acute bony mallet cases. Nevertheless, we consider that the outcomes of the M-FIOS classification are not adequately definitive for the purposes of evaluation.
Abstract Objectives Reconstruction of soft tissue defects around the ankle is an ongoing challenge for reconstructive surgeons. This study aimed to evaluate the outcomes and complications in patients with soft tissue defects around the ankle who underwent reconstruction using a perforator propeller flap. Methods The medical records of 17 patients who underwent perforator propeller flap procedures for soft tissue reconstruction around the ankle at our hospital between January 2021 and January 2025 were reviewed. Defect etiology, flap dimensions, arc of rotation (degree of rotation), flap survival and complications were recorded. Results The patients’ average age was 41 years, the mean defect size was 5.1 × 7.6 cm, and the mean flap size was 5.8 × 14.1 cm. The mean flap rotation was 152°. The donor site was closed primarily in three patients, and split-thickness skin grafts were applied in 14. Partial necrosis at the flap tip was observed in three patients, and in one patient, partial epidermolysis was observed. Conclusion Small and medium-sized soft tissue defects around the ankle can be successfully reconstructed using perforator propeller flaps, which provide tissue similar to the native local tissue and minimal donor site morbidity.
Objectives: This study introduces a modified M-Tang six-strand flexor tendon repair technique using a single loop suture with all knots within the repair line. The aim is to simplify the procedure, reduce costs, especially multiple tendon repairs, minimize surface swelling, preserve tendon vascularity, and provide eduquate mechanical strength for early active mobilization. Technique: The technique is a modification of the original M-Tang tendon repair method and uses 4-0 looped polydioxanone suture. The first locking knot is placed 1 cm proximal to the repair line using the Tsuge loop suture technique and is advanced intratendinously, exiting 1 cm distal to the repair line. An equal attachment distance of 1.0 cm is maintained on both sides of the repair line. The suture is then passed to the opposite side transversely, perpendicular to the long axis of the tendon. The Tsuge technique is repeated in reverse. The suture is removed intratendinously from the opposite side of the initial entry point and is locked by passing it through itself with appropriate tension. The suture is then passed transversely to emerge from the midline of the tendon. The suture is advanced within the tendon to exit the repair line. Then, one end of the looped suture is cut close to the needle. The needle, which has fallen into a single suture, is advanced through the tendon, exiting 1 cm distal, and then brought back through the tendon to the repair line. The suture is then tied with appropriate tension. When the procedure is completed, a triangular configuration is achieved on the sagittal axis with the apex facing the volar side, ensuring that the knot remains within the repair line. Peripheral sutures are intentionally omitted to reduce surface volüme and optimize tendon gliding. Discussion: Compared with classical six-strand techniques, the propesed method requires only a single knot, reduces the number of fixation points on the surface, and minimizes deformation by maintaining symmetry in the suture transition. The triangular placement preserves dorsal vascularity and reduces interference with tendon sliding. Although no biomechanical testing has been performed, it is anticipated that it will provide tensile strenght comparable to other six-strand techniques, with the added advantages of simplicity of procedure and reduced cost. The modified M-Tang technique using a single loop suture offers a low profile, cost effective, and mechanically sound alternative for flexor tendon repair. Its configurations facilitates early active mobilization and may be particularly advantageous in situations where multiple tendon repairs are required.
Objective: The aim of this study is to evaluate the types and frequencies of arthroscopically repaired full-thickness rotator cuff tears (RCTs). The study aims to examine the tendons and tear shapes affected by the tear. Methods : The data of 240 patients who underwent arthroscopic repair due to full-thickness RCTs between March 2021 and June 2023 were analyzed retrospectively. According to intraoperative findings, rotator cuff tears were classified by examining according to tear size, tear morphology, and affected tendon. Statistical analysis was used to determine frequency distributions, age, and tear correlations. Results: The results of 240 patients (123 females, 117 males) were evaluated. The mean age of the patients was 61.22 ± 6.2 years. The most common tear morphology was crescent-shaped tears (56.3%), followed by U-shaped tears (20.8%). Complex, U- and L-shaped tears were significantly associated with larger-sized tears (p < 0.05). The most common form of tendon involvement was isolated supraspinatus tears (63.3%). Medium-sized (1-3 cm) tears (36.7%) were the most common, followed by small-sized (<1 cm) tears (34.2%). The incidence of massive tears ( >5 cm ) in elderly patients was high (p<0.01), with an incidence rate 8.3% in total. Conclusion: The most common full-thickness RCTs repaired arthroscopically are medium-sized crescent-shaped supraspinatus tears. Advanced age and the size of the tear are positively correlated. A clear understanding of the type and size of the tear provides a guide for the surgical technique to be applied and is important in the prognosis.
Objectives: In this study, the accuracy rates of the answers given by three different large language models (LLMs) (ChatGPT-4o, DeepSeek-R1, and Gemini 2.0) to the multiple-choice questions (MCQs) asked in the European Board of Hand Surgery (EBHS) exam and the reasons for the wrong answers were examined. It was hypothesized that the DeepSeek-R1 model would show a higher accuracy rate than the other two models based on reported differences in training datasets. Materials and Methods: 10 different exams published in The Journal of Hand Surgery (European Volume) (between 2022- 2024) and 150 true/false MCQs were examined in the study. The MCQs divided into five subheadings according to the content of the questions, and these were anatomy, trauma, systemic-chronic diseases, microsurgery, and congenital disorders. The error reasons for the wrong answers of the models were divided into four groups, and these were data-related, semantic, algorithmic, and logical errors. Results: ChatGPT-4o had a correct answer rate of 74%, DeepSeek-R1 76.7%, and Gemini 2.0 73.3%, and no significant difference was observed between these rates (p = 0.572). The models gave the same answer for 103 out of 150 MCQs, and 84.5% of these answers were correct. In the evaluation of wrong answers, it was seen that the most frequent type of error was data-related. Conclusion: There was no significant difference in accuracy rates, content-based subcategories, or error types among the three LLMs. Data-related errors indicate gaps in training, but approximately 75% accuracy in this exam suggests that further error analysis could enhance future model performance.
Objectives Syndactyly reconstruction is a technically demanding procedure that requires precise flap planning and dissection. However, traditional surgical training often lacks sufficient opportunities for repeated practice, especially in low-resource settings. This study aimed to introduce and evaluate a novel, low-cost, and easily replicable simulation model designed to improve surgical training in syndactyly reconstruction. Methods We developed the model by covering a commercially available nail-training hand with a latex glove, simulating a syndactyly in the third web space. This model was incorporated into a hands-on session at the Prof. Ridvan Ege Basic Hand Surgery Course in February 2024. Participants (n=112) completed pre- and post-training self-assessments rating their practical knowledge of syndactyly surgery on a scale of 1 to 10. Subgroup analyses were conducted based on specialty and training level. Results Participants’ self-rated knowledge improved significantly from a mean of 3.46 ± 2.11 before training to 7.30 ± 1.78 after training (p < 0.001). Specializations (p = 0.773) and training levels (p = 0.100) revealed no significant differences in knowledge improvement. Conclusion This simple, low-cost model significantly enhanced participants\' self-perceived knowledge of syndactyly reconstruction and was well received in a structured surgical training environment. While the assessment was based on self-reported scores, the model nonetheless provides a practical and scalable tool for surgical education, especially in settings with limited resources or case exposure. The results should be interpreted with caution, though, as they represent perceived knowledge rather than objectively measured surgical skill.
Abstract Background: This study aimed to evaluate the functional outcomes of early microsurgical repair of the superficial branch of the radial nerve (SBRN) following nerve transection. Methods: Patients who underwent surgical treatment for SBRN transection between 2023 and 2024 and had a minimum follow-up period of 12 months were retrospectively reviewed. Patients who underwent epineural end-to-end nerve repair were included in the study. Sensory recovery was assessed using the Semmes-Weinstein monofilament test, and pain levels were evaluated with the Visual Analog Scale (VAS). Patient satisfaction was measured via a specifically designed questionnaire. Results: A total of 11 patients who met the inclusion criteria were evaluated. The mean age of the patients was 24 years, with a mean follow-up duration of 13.4 months. A noticeable decrease in VAS scores was observed in the postoperative period (preoperative: 5.45, postoperative: 1.09). Most patients demonstrated sensory improvement based on the Semmes-Weinstein monofilament test. No cases of painful neuroma were reported. According to the satisfaction survey, 7 patients reported being "very satisfied," while 4 reported being "satisfied." Conclusion: Early microsurgical repair of SRN injuries yields favorable functional outcomes. This approach is effective in both preventing neuroma formation and restoring sensory function. These findings should be supported by larger-scale, prospective studies.
Different techniques are described for soft tissue defect of the hand fingers. Venous flap is a new technique for soft tissue defect reconstruction. Author also described new techniques for finger soft tissue reconstruction with venous flap previously. 64-year-old man admitted to our clinic due to right hand injury with electrical saw. He had ring and middle fingers distal phalanx bone fractures with middle finger dorsal distal phalanx bone and soft tissue lost. Bone fractures were stabilized with Kirschner wire. Author decided to repair of middle finger soft tissue defect with unipedicled distally based venous flap. Flap was planned on dorsum of the right hand. Finger healed uneventfully. Evaluations of functional and cosmetic results were good in the follow up. Finger soft tissue injury was treated immediately with unipedicled distally based venous flap is presented here. Best of outhor knowledge, this is the first case report for immediate soft tissue reconstruction of the finger with unipedicled distally based venous flap.
Objectives: Bone and tendon-exposed tissue defects in the lower extremity, often resulting from trauma, infection, or surgical complications, present significant challenges for functional recovery and aesthetics. Local muscle flaps have emerged as a viable option for reconstructing such defects due to their rich vascularity, accessibility, and reduced need for complex microsurgical techniques. Methods: This retrospective study evaluated the efficacy of medial gastrocnemius, peroneus brevis, and medial hemi-soleus flaps applied to 10 bone-exposed tissue defects in eight patients. Parameters assessed included wound healing, muscle function, infection rates, and the need for additional interventions. Results: Results indicated that muscle flaps achieved favorable healing outcomes in the majority of cases: 40% showed excellent wound healing, 37.5% good, and only 12.5% had poor results. Muscle strength postoperatively averaged 77% of the contralateral side, and only three patients experienced minor infections requiring additional debridement. Complications, such as partial necrosis and dehiscence, were observed but were effectively managed with secondary interventions, including alternative flaps. Conclusion: The results demonstrate that local muscle flaps are an effective method for treating tissue defects with exposed bone; however, careful management of complications is crucial.
Abstract Introduction Flexor tendon injuries in the hand are frequently encountered in hand surgery practice and can lead to significant functional loss if not treated properly.. This study aims to investigate the risk factors associated with complications following primary repair of flexor tendon injuries in zones 1 and 2. Methods The research was conducted retrospectively, collecting data on variables such as age, gender, educational status, income level, smoking habits, psychiatric conditions, injured tendons and fingers, injury mechanisms, surgical techniques, suture types, and rehabilitation status. Results Smoking was found to significantly increase the risk of complications; while 67.6% of non-smokers did not experience tendon rupture, 100% of smokers did (p = 0.046). Moreover, smokers were found to have lower TAM (Total Active Motion) scores (p = 0.003). A significant association was also found between educational status and complications, with high school graduates being more likely to experience complications (p = 0.001). Rehabilitation status further impacted the complication rate, as patients who underwent rehabilitation had higher complication rates (p = 0.048). The median time to return to work for patients with complications was significantly longer compared to those without complications (p < 0.001). Injured fingers, subzones of injury, suture types, suture techniques, and certain patient-related factors were not found to have significant effects on complications. Conclusion These findings emphasize the substantial impact of smoking and rehabilitation practices on the risk of complications, suggesting that future studies should further evaluate these areas in more detail. Keywords: Flexor tendon injury, complications, risk factors, smoking, rehabilitation
Introduction: Wrist ganglion cysts (WGC) are common lesions. With the rise of digital media, YouTube has become a prevalent platform for health information. However, the quality and reliability of WGC-related content on YouTube have not been thoroughly evaluated. This study aims to evaluate the quality, accuracy, and reliability of YouTube videos about WGCs. Materials and Methods: A cross-sectional study was conducted in July 2024. YouTube videos were searched using the term "wrist ganglion cyst". A total of 50 videos were included in the analysis. The videos’ characteristics were recorded. The videos were evaluated using the Journal of the American Medical Association (JAMA) Benchmark Scoring System, the Global Quality Scale (GQS), and a custom Wrist Ganglion Cyst-Specific Score (WGC-SS). Results: Analysis of video sources revealed that 48% of the videos were uploaded by physicians and 42% by medical sources. Content analysis of these videos showed that 46% provided disease-specific information, 18% surgical techniques, and 14% non-surgical management. The average JAMA score was 1.7, indicating low reliability, while the GQS and WGC-SS averaged 2.68 and 4.08, respectively, reflecting low educational and content quality. Disease-specific information videos had higher GQS and WGC-SS scores compared to other content types. It was observed that the VPI did not correlate with the GQS and WGC-SS. There were no significant differences in JAMA scores based on video source or content type. Conclusion: YouTube videos on WGC generally exhibit low quality and reliability. YouTube has potential as an educational tool, but improvements are necessary to ensure the reliability of health-related content.
Objective: To review the early outcome of flexor carpi radialis (FCR) tendon suspension arthroplasty for basal thumb arthritis (BTA) with specific analysis of the relationship between scaphometacarpal (SMC) distance and functional outcome, as measured by Disabilities of the Arm, Shoulder, and Hand (DASH) scores. Methods: Seven patients with BTA treated with FCR tendon suspension arthroplasty were recruited for this study. Follow-up was available for all patients with a mean period of 6 months . The SMC distance was measured preoperatively and postoperatively. DASH scores were documented at the 6-month follow-up. The relationship between SMC distance and DASH scores was evaluated, and statistical significance was accepted as p < 0.05. Results: The mean preoperative SMC distance was 12.8 mm (range: 10–15.4 mm), which decreased to 5.8 mm (range: 4.2–7.6 mm) at the six-month postoperative follow-up.The mean DASH score was 26.2. Statistical analyses showed no significant association between SMC distance and DASH scores. No postoperative complications were observed. Among the seven patients who underwent surgery, six reported being satisfied with the outcome, while one patient was dissatisfied. In conclusion, the decrease in SMC distance after FCR tendon suspension arthroplasty does not correlate significantly with early functional outcomes, as indicated by DASH scores. This may be interpreted that radiographic changes in SMC distance do not affect short-term clinical results. Further studies with larger patient groups and extended follow-up are warranted.
Background Metacarpal and proximal phalangeal fractures constitute 55% of all hand fractures, with stable cases often managed conservatively. Unstable fractures, however, require surgical intervention, utilizing methods such as K-wires, screws, and plates. Intramedullary cannulated headless compression screws (IHCS) are a promising option, allowing percutaneous application and early mobilization, which is crucial for reducing recovery time. Methods This study retrospectively reviewed patients who underwent IHCS fixation from October 2021 to January 2023, approved by the local ethics committee. Exclusion criteria included tendon or nerve injuries and follow-up of less than six months. Acute or malunited fractures of metacarpals and proximal phalanx were included. Nineteen fingers from thirteen patients were analyzed. Demographics, functional outcomes, and complications were recorded. Results Patients returned to work or school in an average of 15.4 days. Total active movement (TAM) was assessed at three months, with a mean of 222.5 degrees. Eleven patients achieved good results, while two had poor outcomes; both patients underwent revision surgery, resulting in improved TAM. No clinical malunion or nonunion was observed, and extension lag was absent. Conclusion The findings suggest that IHCS provides effective fixation for both phalanx and metacarpal fractures, facilitating early active motion and minimizing complications associated with other surgical techniques. Nonetheless, the results support the use of IHCS in treating malunited fractures and indicate its potential for further investigation in larger cohorts.
Objectives: De Quervain’s tenosynovitis is a common wrist pathology affecting the first extensor compartment. A known etiological factor is a history of distal radius fractures, which alter wrist anatomy. This study hypothesizes that morphological variations in the distal radius, even in the absence of fracture history, may contribute to the development of De Quervain’s tenosynovitis. Methods: The study included 30 patients treated surgically for De Quervain’s tenosynovitis (study group) and 30 healthy individuals (control group). The exclusion criteria were a history of wrist fractures, anatomical variations, wrist tumors, or deformities. Radiographic measurements of radial inclination, radial shortening, and volar tilt were performed for both groups and statistically compared to evaluate differences in distal radius morphology. Results: The study group (24 females, 80%; 6 males, 20%) had a mean age of 51.2 years (30–70), with mean values of 24.1° for radial inclination, 12.2 mm for radial shortening, and 15.4° for volar tilt. The control group (20 females, 67%; 10 males, 33%) had a mean age of 53.1 years (30–70), with respective values of 24.4°, 11.9 mm, and 15.7°. Statistical analysis revealed no significant differences between the groups for radial inclination (p = 0.857), radial shortening (p = 0.351), or volar tilt (p = 0.837). Conclusions: While distal radius fractures are associated with De Quervain’s tenosynovitis, this study found no significant correlation between distal radius morphology and the condition in patients without fracture history. Keywords: De Quervain’s Disease, Tenosynovitis, Distal Radius Morphology
Acute calcific tendinitis poses diagnostic challenges, particularly when manifesting atraumatically in rare anatomical sites such as the hand. This article presents the effective management of a case of a 56-year-old male with acute calcific tendinitis affecting the volar aspect of the second finger's proximal interphalangeal joint. Despite initial conservative approaches, including cold application and NSAIDs, proving ineffective, the patient's symptoms persisted, prompting referral for further evaluation. Ultrasonographic assessment revealed soft tissue calcification on the flexor tendon, leading to the application of an injection treatment under ultrasound guidance resulted with significant improvements in pain management, and restored finger range of motion. This case highlights the rarity of acute calcific tendinitis in the hand, emphasizing the importance of considering uncommon manifestations in the diagnostic process. Additionally, it underscores the efficacy of ultrasound-guided interventions as a valuable therapeutic option, particularly in cases where conservative measures prove inadequate.
Objectives: This study aimed to compare clinical and radiological outcomes of supination and semi-prone positions in the surgical treatment of distal radius fractures. Our hypothesis posits that the semi-prone position reduces the deforming effect of the brachioradialis muscle, resulting in shorter surgical time and favorable outcomes. Methods: A retrospective analysis was conducted on 97 patients (Group A: 44, Group B: 53) who underwent volar plating between 2014 and 2022. Demographic data, surgical duration, fluoroscopy time and functional and radiological outcomes were analyzed using Quick DASH, Mayo score and the Gartland-Werley clinical scoring system. Results: No significant differences were observed between the groups regarding age, gender, dominant hand and side. Group A had significantly shorter surgical (71 ± 12.2 min) and fluoroscopy time (2.07 ± 0.3 min) compared to Group B (p<0.01). Functional outcomes (Quick DASH, Mayo scores and grip strength) and radiological parameters (volar tilt, radial inclination, etc.) showed no significant differences. However, Group A demonstrated better pronation (p=0.025) and ulnar deviation (p=0.038). Conclusion: The semi-prone position reduces the deforming effect of the brachioradialis muscle, resulting in shorter surgical duration and fluoroscopy time. This technique can be safely utilized as an alternative to the supination position without affecting functional or radiological outcomes.
