Comparison of a single palmar lateral transverse approach versus the modified Henry approach in locking plate fixation of distal radius fractures
10.3760/cma.j.cn115530-20230813-00062
- VernacularTitle:单一掌侧横切口入路与改良Henry入路在锁定钢板固定治疗桡骨远端骨折中的疗效比较
- Author:
Xing ZHAO
1
;
Peng LIU
;
Shengkang XU
;
Jinsong ZHANG
;
Bin LUO
;
Wei XIONG
;
Meng ZHAO
Author Information
1. 湖北省十堰市太和医院创伤骨科（湖北医药学院附属医院），湖北十堰 442000
- Keywords:
Radius fractures;
Surgical procedures, minimally invasive;
Fracture fixation, internal;
Approach;
Transverse incision
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(2):171-175
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy between a single palmar lateral transverse approach and the modified Henry approach in the locking plate fixation for distal radius fractures.Methods:A retrospective study was conducted to analyze the data of 82 patients with distal radius fracture who had undergone locking plate fixation through either a single palmar lateral approach or the modified Henry approach between January 2016 and December 2022 at Department of Traumatic Orthopaedics, Taihe Hospital, Affiliated to Hubei University of Medicine. There were 25 males and 57 females, with an age of (53.8±12.7) years. Based on the difference in surgical approach, the patients were divided into a single transverse approach group ( n=42) and a modified Henry approach group ( n=40). The 2 groups were compared in terms of injury cause, injury location, time from injury to surgery, AO fracture classification, tourniquet time during surgery, incision length, fracture reduction, Patient and Observer Scar Assessment Scale (PSAS & OSAS) and Disability of the Arm, Shoulder, and Hand (DASH) score at the last follow-up, and complications after surgery. Results:There were no statistically significant differences in the baseline characteristics between the 2 groups, indicating comparability ( P>0.05). All patients were followed up for (8.2±3.5) months. Follow-ups revealed one case of injury to the palmar cutaneous branch of the median nerve but no other complications like infection, non-union, internal fixation failure, or tendon injury in the single transverse approach group. The single transverse approach group was significantly superior over the modified Henry approach group in incision length [(2.4±0.9) cm versus (5.3±1.6) cm], OSAS (8.1±4.2 versus 10.3±5.7), and PSAS (10.1±5.8 versus 14.7±6.4) ( P<0.05). There were no significant differences between the 2 groups in tourniquet time, fracture reduction quality, and DASH score at the last follow-up ( P>0.05). Conclusion:In locking plate fixation for distal radius fractures, in comparison with the modified Henry approach, a single palmar lateral approach is more minimally invasive so that more aesthetically pleasing outcomes can be achieved to facilitate patients' rapid return to work and society.
