保留旋前方肌改良Henry入路掌侧钢板内固定术对桡骨远端骨折患者前臂旋转功能的影响  

Influence of Volar Plate Internal Fixation Via Modified Henry Approach with Preservation of the Pronator Quadratus Muscle on Forearm Rotation Function in Patients with Distal Radius Fracture

作　　者：翟连锁 王立燕 赵春亮 ZHAI Liansuo;WANG Liyan;ZHAO Chunilang(Department of Orthopedics,Jiyang District People’s Hospital,Jinan City,Shandong Province,Jinan 250000,China)

机构地区：[1]山东省济南市济阳区人民医院骨科,山东济南250000

出　　处：《反射疗法与康复医学》2025年第5期66-69,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨保留旋前方肌行改良Henry入路掌侧钢板内固定术对桡骨远端骨折患者前臂旋转功能及的影响。方法 选取2022年7月—2024年6月山东省济南市济阳区人民医院收治的88例桡骨远端骨折患者为研究对象,按照手术方式的不同将其分为对照组(n=43)和观察组(n=45)。对照组采用Henry入路行切开旋前方肌手术,观察组采用保留旋前方肌行改良Henry入路手术,两组术后均随访3个月。比较两组的骨折复位效果、前臂旋转功能、疼痛程度、炎性因子水平、并发症发生情况。结果 观察组骨折复位优良率为93.33%,高于对照组的76.74%,差异有统计学意义(P<0.05)。术后1周、术后1个月、术后3个月,观察组前臂旋转角度均大于对照组,疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05)。术后1周,观察组C反应蛋白、肿瘤坏死因子-α、白细胞介素-6水平均低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为2.22%,低于对照组的18.60%,差异有统计学意义(P<0.05)。结论 桡骨远端骨折患者保留旋前方肌实施手术较切开旋前方肌能够进一步提高骨折复位效果,减轻疼痛,降低炎性因子水平,改善前臂旋转功能,并发症发生较少。Objective To explore the influence of volar plate internal fixation via the modified Henry approach with preservation of the pronator quadratus muscle on the forearm rotation function in patients with distal radius fractures.Methods A total of 88 patients with distal radius fractures admitted to Jiyang District People’s Hospital,Jinan City,Shandong Province from July 2022 to June 2024 were selected as the research subjects.According to different surgical methods,they were divided into a control group(n=43)and an observation group(n=45).The control group was treated with the Henry approach for open surgery with division of the pronator quadratus muscle,while the observation group underwent the modified Henry approach with preservation of the pronator quadratus muscle,both groups were followed up for 3 months after surgery.The fracture reduction effects,forearm rotation functions,pain degrees,levels of inflammatory factors,and the occurrence of complications were compared between the two groups.Results The excellent and good rate of fracture reduction in the observation group was 93.33%,which was higher than 76.74%in the control group,and the difference was statistically significant(P<0.05).At 1 week,1 month,and 3 months after surgery,the forearm rotation angles in the observation group were all greater than those in the control group,and the Visual Analogue Scale scores for pain were all lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).One week after surgery,the levels of C-reactive protein,tumor necrosis factor-α,and interleukin-6 in the observation group were all lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 2.22%,which was lower than 18.60%in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with distal radius fractures,performing surgery with the preservation of the

关 键 词：桡骨远端骨折 保留旋前方肌 Henry入路 前臂旋转功能 疼痛程度 炎性因子水平 

分 类 号：R683.41[医药卫生—骨科学]