| 改良Henry入路治疗AO-B与C型桡骨远端骨折疗效观察 |
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投稿时间：2023-10-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈巨坤 |
CHEN Ju-kun |
绍兴市上虞人民医院骨科, 浙江 绍兴 312300 |
Department of Orthopaedics, Shangyu People's Hospital of Shaoxing, Shaoxing 312300, Zhejiang, China |
cjkisaceo@163.com |
| 罗益文 |
LUO Yi-wen |
绍兴市上虞人民医院骨科, 浙江 绍兴 312300 |
Department of Orthopaedics, Shangyu People's Hospital of Shaoxing, Shaoxing 312300, Zhejiang, China |
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| 黄立萍 |
HUANG Li-ping |
绍兴市上虞人民医院骨科, 浙江 绍兴 312300 |
Department of Orthopaedics, Shangyu People's Hospital of Shaoxing, Shaoxing 312300, Zhejiang, China |
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| 期刊信息：《中国骨伤》2024年，第37卷，第10期，第959-964页 |
| DOI：10.12200/j.issn.1003-0034.20230464 |
| 基金项目: |
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中文摘要:
目的: 探讨改良Henry入路治疗AO-B、C型桡骨远端骨折的临床疗效。
方法: 回顾分析2021年6月至2022年5月,采用改良Henry入路治疗AO-B、C型桡骨远端骨折患者20例。其中男6例,女14例;年龄35~78岁;左侧8例,右侧12例。记录患者一般资料、骨折愈合时间、术后并发症、末次随访时影像学参数(掌倾角、尺偏角、桡骨高度)、腕关节活动度及前臂旋转范围,Mayo评分评定腕关节功能。
结果: 所有患者术后通过门诊复诊获得随访,时间12~18(13.3±2.3)个月。骨折均愈合,愈合时间10~16(12.6±2.5)周,无切口愈合不良、感染、医源性正中神经损伤、骨折延迟愈合、不愈合、畸形愈合等并发症的发生。末次随访X线片测量,掌倾角(11.4±4.0)°,尺偏角(20.9±2.2)°,桡骨高度(10.3±1.2) mm;腕关节掌屈(65.3±5.8) °,背伸(60.2±4.2)°,尺偏(37.8±4.1)°,桡偏(27.0±3.7)°;前臂旋前(80.4±4.1)°,旋后(78.6±3.7)°。腕关节功能依据Mayo评分标准评定:优12例,良6例,可2例。
结论: 改良Henry入路可以更好显示桡骨远端尺掌侧骨折块,尤其适用于复杂双柱桡骨远端骨折的复位。 |
| 【关键词】桡骨骨折 掌侧入路 掌侧锁定接骨板 内固定 |
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| Clinical effect of modified Henry approach in treating AO type B and C distal radius fractures |
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ABSTRACT
Objective To investigate the clinical effect in treating AO type B and C distal radius fractures with modified Henry approach.
Methods Retrospectively analysis of 20 patients with AO type B and C distal radius fractures between June 2021 and May 2022,they were treated by modified Henry approach. There were 6 males and 14 females,aged from 35 to 78 years old,8 patients on the left and 12 on the right. The patients' general data,fracture healing time,postoperative complications,last-time follow up radiographic parameters(volar inclination angle,ulnar deviation angle and radius height),wrist range of motion,range of forearm rotation and functional outcoming of the wrist joint according to Mayo scoring were observed of each patient..
Results All patients were followed-up,the time was (13.3±2.3) months,ranged from 12 to 18 months. All the fractures were healed,the fracture healing time was (12.6±2.5) weeks,ranged from 10 to 16 weeks. There were no complications such as poor wound healing,incision infection,iatrogenic median nerve injury,delayed union,nonunion and malunion during the postoperative follow up. According to the X-ray measurement in the last-time follow up,the volar inclination angle was (11.4±4.0) °,the ulnar deviation angle was (20.9±2.2) ° and the radius height was (10.3±1.2) mm. The wrist range of motion was (65.3±5.8) ° for volar flexion,(60.2±4.2) ° for dorsal extension,(37.8±4.1) ° for ulnar deviation,(27.0±3.7) ° for radial deviation. The range of forearm rotation was(80.4±4.1) ° for pronation,(78.6±3.7) ° for supination. According to Mayo scoring,the wrist function was evaluated as excellent in 12 cases,good in 6 cases and fair in 2 cases,the excellent and good rate was 90%.
Conclusion Modified Henry approach can better expose the ulnar and volar fragments in distal radius,especially useful for reducting the distal radius with complex bi-columnar fractures. |
| KEY WORDS Radius fracture Volar approach Volar locking plate Internal fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈巨坤,罗益文,黄立萍.改良Henry入路治疗AO-B与C型桡骨远端骨折疗效观察[J].中国骨伤,2024,37(10):959~964 |
| 英文格式: | CHEN Ju-kun,LUO Yi-wen,HUANG Li-ping.Clinical effect of modified Henry approach in treating AO type B and C distal radius fractures[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(10):959~964 |
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