Henry入路桡骨掌侧锁定接骨板内固定治疗桡骨远端不稳定性骨折的临床体会  

Therapeutic effect of Henry′s access for the treatment of unstable distal radius fractures with volar locking plate

作　　者：潘铭辉 石通和 郝仕强 温金焘 PAN Minghui;SHI Tonghe;HAO Shiqiang;WEN Jingtao(Department of Orthopaedics,Dongguan Qishi Hospital,Dongguan 523500,China.)

机构地区：[1]广东省东莞市企石医院外二科

出　　处：《岭南现代临床外科》2019年第4期463-466,共4页Lingnan Modern Clinics in Surgery

摘　　要：[目的]总结Henry入路桡骨掌侧锁定接骨板治疗桡骨远端不稳定性骨折的临床经验。方法回顾性分析我院2015年1月至2017年6月期间应用Henry入路桡骨掌侧锁定接骨板治疗不稳定性桡骨远端骨折28例。结果所有病例随访9~15个月,平均12.1个月。无神经、血管、肌腱损伤。无伤口感染或坏死、排斥反应、腕管综合征、复位失败等并发症。X光检查示骨折全部愈合。按Gartland&Werley腕关节评分标准:本组优14例,良10例,可2例,差2例,总优良率85.7%。结论Henry入路桡骨掌侧锁定接骨板内固定治疗桡骨远端不稳定性骨折疗效满意。Objective To summarize the clinical experience of volar locking plate fixation of distal radius fractures through Henry′s approach.Methods A retrospective analysis was performed in 28 cases of unstable distal radius fractures undergone volar locking plate fixation by Henry′s approach from January 2015 to June 2017.Results All cases were followed up for 9 to 15 months,with an average of 12.1 months.No cases with nerve,blood vessel or tendon injury were found during operation.There were no wound infection or necrosis,no rejection,no carpal tunnel syndrome,no reduction failure and other complications.Radiographs showed optimal reduction and healing.According to the Gartland&Werley score,14 patients showed excellent results,10 showed good results,and 2 showed fair results.Two cases of wrist stiffness due to lack of functional exercise.Conclusion Henry′s approach for the treatment of unstable distal radius fractures is satisfactory.

关 键 词：桡骨远端骨折 手术 Henry入路 

分 类 号：R683.41[医药卫生—骨科学]