Double-column Die-punch fractures of distal radius treated with butterfly plate fixation via Henry approach.
10.12200/j.issn.1003-0034.2023.04.015
- Author:
Hai-Bo XIA
1
;
Jun LAN
2
;
Li-Qing JIANG
2
;
Hua-Fei YANG
2
;
Xiao-Hui NIU
2
Author Information
1. Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China; Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China.
2. Department of Traumatology, Lishui People's Hospital, Lishui 323000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Butterfly plate;
Die-punch fracture;
Double column fracture of distal radius;
Henry approach;
Internal fixation
- MeSH:
Adult;
Aged;
Animals;
Female;
Humans;
Male;
Middle Aged;
Young Adult;
Bone Plates;
Fracture Fixation, Internal/methods*;
Radius/surgery*;
Radius Fractures/surgery*;
Range of Motion, Articular;
Treatment Outcome;
Wrist Joint
- From:
China Journal of Orthopaedics and Traumatology
2023;36(4):376-380
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical effect of open reduction and internal fixation with Henry's approach butterfly plate in treating double-column Die-punch fractures of distal radius.
METHODS:From January 2018 to June 2021, 26 patients with double-column Die-column distal radius were treated with open reduction and internal fixation through Henry's surgical approach and using distal radius volar column plate(butterfly plate), including 14 males and 12 females, aged from 20 to 75 years old with an average age of (44.2±3.4) years old. Postopertaive complications were observed, Gartland-Werley score at 12 months after opertaion was used to evaluate wrist joint function.
RESULTS:All 26 patients were followed up from 10 to 18 months with an average of(13.4±0.8) months. All fractures were obtained fracture union, the time ranged from 8.5 to 15.8 weeks with an average of (11.4±0.5) weeks. All incisions healed at stageⅠwithout infection, nerve injury and internal fixation failure occurred. Postoperative Gartland-Werley score at 12 months was (3.65±0.36), and 16 patients got excellent result, 8 good and 2 moderate.
CONCLUSION:Open reduction and internal fixation with butterfly plate for the treatment of double-column Die-punch fractures of the distal radius through volar Henry approach could obtain satisfactory clinical outcomes.
