Henry入路蝶形钢板内固定治疗桡骨远端双柱Die-punch骨折

Double-column Die-punch fractures of distal radius treated with butterfly plate fixation via Henry approach

目的:探讨Henry入路蝶形钢板切开复位内固定治疗桡骨远端双柱Die-punch骨折的临床疗效。方法:选择2018年1月至2021年6月采用Henry手术入路切开复位内固定治疗的26例桡骨远端双柱Die-punch骨折患者,男14例,女12例;年龄20~75(44.2±3.4)岁。观察术后并发症情况,术后12个月采用Gartland-Werley评分标准进行腕关节功能评价。结果:26例患者均获得随访,时间10~18(13.4±0.8)个月。所有骨折均获得骨性愈合,时间8.5~15.8(11.4±0.5)周。所有患者手术切口都Ⅰ期愈合,无伤口感染、血管神经损伤及内固定失效等病例。术后12个月GarthndWerley评分(3.65±0.36)分,优16例,良8例,可2例。结论:通过掌侧Henry入路,使用蝶形钢板切开复位内固定治疗桡骨远端双柱Die-punch骨折,可获得满意的临床疗效。

Objective To explore clinical effect of open reduction and internal fixation with Henry's approach butterfly plate in treating double-column Die-punch fractures of distal radius.Methods From January 2018 to June 2021,26 patients with double-column Die-column distal radius were treated with open reduction and internal fixation through Henry's surgical approach and using distal radius volar column plate(butterfly plate),including 14 males and 12 females,aged from 20 to 75 years old with an average age of(44.2±3.4)years old.Postopertaive complications were observed,Gartland-Werley score at 12 months after opertaion was used to evaluate wrist joint function.Results All 26 patients were followed up from 10 to 18 months with an average of(13.4±0.8)months.All fractures were obtained fracture union,the time ranged from 8.5 to 15.8 weeks with an average of(11.4±0.5)weeks.All incisions healed at stageⅠwithout infection,nerve injury and internal fixation failure occurred.Postoperative Gartland-Werley score at 12 months was(3.65±0.36),and 16 patients got excellent result,8 good and 2 moderate.Conclusion Open reduction and internal fixation with butterfly plate for the treatment of double-column Die-punch fractures of the distal radius through volar Henry approach could obtain satisfactory clinical outcomes.