- 期刊
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改良Henry入路治療橈骨遠端骨折的效果分析
Analysis of the effects of modified henry approach in surgery of the distal radius fracture
摘要
目的：研究橈骨遠端骨折行改良Henry入路手術復位掌側鎖定鋼板內固定術對腕關節功能的影響。方法：選取2017年1月～2018年12月本院橈骨遠端骨折患者70例，手術以改良Henry入路掌側鎖定鋼板固定橈骨遠端骨折，術後6週、3個月及6個月分別記錄患者前臂旋前旋後角度及上肢功能DASH評分。結果：所有患者術後6週開始可作腕關節功能訓練，3個月可恢復負重功能訓練及6個月基本恢復骨折前工作，隨着康復時間的延長，旋前及旋後功能明顯改善，但對比旋前及旋後的角度差異無統計學意義（P>0.05），而上肢功能DASH評分逐步減小，顯示上肢功能逐漸恢復，在術後6個月時接近正常上肢功能。結論：經改良Henry入路掌側鎖定鋼板治療橈骨遠端骨折患者，腕關節功能恢復理想，值得應用。
並列摘要
Objective: To study the effect of modified Henry approach open reduction and volar locking plate fixation on wrist joint function in distal radius fracture. Methods: Seventy patients with distal radius fractures from January 2017 to December 2018 were enrolled in this study. The distal humeral fractures were treated with modified Henry approach anterior locking plate. The patients followed-up and were treated at 6 weeks, 3 months and 6 months post-operation respectively. The patient's forearm pre-rotation angle and upper limb function DASH score were recorded. Results: All patients can start wrist function training 6 weeks after surgery, 3 months to restore weight-bearing function training and 6 months to basically restore pre-fracture work. With the extension of follow-up time after surgery, the pronation and supination function is significantly improved. However, there was no significant difference in the angle between the pronation and the supination (P>0.05), while the DASH score of the upper extremity was gradually reduced, indicating that the upper limb function gradually recovered, and upper limb function approached normal at 6 months after the operation. Conclusion: The modified Henry approach and anterior locking plate fixation for the treatment of patients with distal radius fractures, resulted in good wrist function recovery.