OBJECTIVE: To investigate the effects of open reduction by palm side for the 
distal radius fracture and T shape plate internal fixation with simultaneous 
anterior transverse carpal ligament resection for the prevention of delayed 
carpal tunnel syndrome after operation.
METHODS: From March 2000 to March 2007, 32 patients (8 males and 24 females, 
ranging in age from 46 to 66 years) with distal radius fracture were treated 
with open reduction by palm side and T shape plate internal fixation with 
simultaneous anterior transverse carpal ligament resection; while 30 patients (7 
males and 23 females,ranging in age from 45 to 65 years) only with open 
reduction by palm side and T shape plate internal fixation. The incidences of 
delayed carpal tunnel syndrome between the two groups were compared.
RESULTS: Among 32 patients treated with open reduction by palm side and T shape 
plate internal fixation with anterior transverse carpal ligament resection, 3 
patients had delayed carpal tunnel syndrome; while in 30 patients treated with 
open reduction by palm side and T shape plate internal fixation, 10 patients had 
delayed carpal tunnel syndrome. There was significant statistically difference 
(P < 0.05%).
CONCLUSION: Simultaneous anterior transverse carpal ligament resection can 
effectively prevent the delayed carpal tunnel syndrome occurrence for the distal 
radius fracture with open reduction by palm side.