改良Henry肘关节前外侧入路钢板内固定治疗桡骨干近1/3骨折

Improved Henry approach to treat fractures of proximal 1/3 radius with Locking compression plate (LCP) fixation

目的探讨改良Henry肘关节前外侧入路锁定加压钢板内固定治疗桡骨干近1/3骨折,为临床手术提供方法。方法本院2006年8月～2010年6月18例桡骨干近1/3骨折应用改良Henry肘关节前外侧入路锁定加压钢板内固定治疗,我们对其疗效进行总结并分析。结果患者均获得随访,时间2～30个月,平均12个月,骨折均达到骨性愈合,愈合时间8～14周,无1例出现手及腕的麻痹、伸拇指障碍等桡神经卡压及受损现象。按照Anderson评分标准。优16例,良1例,可1例,失败0例,优良率达94.4%。结论改良Henry肘关节前外侧入路是一个良好而安全的手术入路,可有效保护桡神经深支,因此改良Henry肘关节前外侧入路在手术治疗桡骨干近1/3骨折中防止损伤桡神经深支有重要意义。

Objective To provide a method for clinical application by exploring open reduction and locking compression plate （LCP） fixation through improved Henry approach to treat fractures of proximal 1/3 radius.Methods We sumerized and analyzed the therapeutic effect of 18 cases of fractures of proximal 1/3 radius which were treated with open reduction and locking compression plate （LCP） fixation through volar approach from August 2006 to June 2010.Results All the patients were paid following-visit which lasted 2-30 months （12 months in average）,the rate of bone healing （8~14 weeks） was 100% and no case of paralysis or extension lag of wrist and thumb due to radial nerve injury or entrapment appeared.The results were excellent in 16 cases,good in 1,fair in 1,and poor in 0.The excellent and good rate was 94.4% according to Anderson standard.Conclusion The volar approach of radius is good and safe to protect deep branch of radial nerve effectively.It is meaningful to use open reduction and locking compression plate （LCP） fixation through volar approach to avoid deep branch of radial nerve injury in treating proximal 1/3 radius.