改良Henry入路在锁定钢板固定治疗桡骨远端骨折中的疗效观察

Clinical Outcomes of the Modified Henry Approach with Locking Plate Fixation for Distal Radius Fractures

摘要: 目的：观察桡骨远端骨折锁定钢板固定治疗中改良Henry入路的疗效。方法：选取本院2022年12月~2024年12月桡骨远端骨折患者80例，依据锁定钢板固定治疗入路划分两组，传统Henry入路组40例，取传统Henry入路，改良Henry入路组40例，取改良Henry入路。统计分析两组围术期指标、疼痛程度、影像学指标、腕关节功能、手与上肢功能、瘢痕情况、骨折复位质量、术后并发症发生率。结果：改良Henry入路组切口长度长于传统Henry入路组(P < 0.05)，术中出血量少于传统Henry入路组(P < 0.05)，手术时间、住院时间均短于传统Henry入路组(P < 0.05)，疼痛评分低于传统Henry入路组(P < 0.05)，桡骨远端高度、尺偏角、掌倾角均大于传统Henry入路组(P < 0.05)，Cooney评分、DASH评分、POSAS评分、PSAS评分、骨折复位质量优良率均高于传统Henry入路组(P < 0.05)，术后并发症发生率低于传统Henry入路组(P < 0.05)。结论：桡骨远端骨折锁定钢板固定治疗中改良Henry入路的疗效较传统Henry入路可能具有优势，但其有效性与安全性仍需更大规模的多中心随机对照试验来证实。

Abstract: Objective: To observe the efficacy of the modified Henry approach in the treatment of distal radius fractures with locking plate fixation. Methods: A total of 80 patients with distal radius fractures in our hospital from December 2022 to December 2024 were selected. They were divided into two groups based on the approach of locking plate fixation treatment: the traditional Henry approach group included 40 cases, and the modified Henry approach group included 40 cases. The modified Henry approach was adopted. The perioperative indicators, pain degree, imaging indicators, wrist joint function, hand and upper limb function, scar condition, fracture reduction quality, and postoperative complication rate were statistically analyzed in both groups. Results: The incision length of the modified Henry approach group was longer than that of the traditional Henry approach group (P < 0.05), the intraoperative blood loss was less than that of the traditional Henry approach group (P < 0.05), the operation time, tourniquet time, and hospital stay were shorter than those of the traditional Henry approach group (P < 0.05), the pain score was lower than that of the traditional Henry approach group (P < 0.05), the height of the distal radius, ulnar deviation angle, and palmar inclination angle were greater than those of the traditional Henry approach group (P < 0.05), the Cooney score, DASH score, POSAS score, PSAS score, and the excellent rate of fracture reduction quality were higher than those of the traditional Henry approach group (P < 0.05), and the postoperative complication rate was lower than that of the traditional Henry approach group (P < 0.05). Conclusion: The efficacy of the modified Henry approach in the treatment of distal radius fractures with locking plate fixation may have advantages over the traditional Henry approach, but its effectiveness and safety still need to be confirmed by larger-scale multicenter randomized controlled trials.