掌侧微创入路与Henry入路治疗桡骨远端骨折效果的Meta分析

Meta-analysis of the effect of palmar minimally invasive approach and Henry approach in the treatment of distal radius fracture

目的探讨掌侧微创入路与Henry入路治疗桡骨远端骨折(DRF)的临床效果。方法检索PubMed、Embase、Cochrane Library、中国知网、万方和维普数据库,收集建库至2022月10月有关掌侧微创入路与Henry入路锁定钢板固定治疗DRF的随机对照试验,根据纳排标准进行筛选以及数据提取,使用RevMan5.4软件进行数据分析。结果共纳入12篇文献。综合分析提示,试验组的腕关节掌屈角度、背伸角度、旋前角度优于对照组,上肢功能评分(DASH)、视觉模拟评分法(VAS)评分及并发症总发生率低于对照组(P<0.05)。结论相较于Henry入路,掌侧微创入路在DRF患者中的应用效果更佳,是可行的手术方式。

Objective To investigate the clinical effect of palmar minimally invasive approach and Henry approach in the treatment of distal radius fracture(DRF).Methods PubMed,Embase,Cochrane Library,CNKI,Wanfang and VIP databases were searched to collect randomized controlled trials on the treatment of DRF with locking plate fixation through palmar minimally invasive approach and Henry approach from the establishment of the database to October 2022.Screening and data extraction were performed according to the inclusion and exclusion criteria,and RevMan5.4 software was used for data analysis.Results A total of 12 articles were included.Comprehensive analysis showed that the wrist joint palmar flexion angle,dorsiflexion angle and pronation angle of the experimental group were better than those of the control group,and the Disabilities of the Arm,Shoulder and Hand(DASH),Visual Analogue Score(VAS)scores and total incidence of complications were lower than those of the control group(P<0.05).Conclusion Compared with Henry approach,palmar minimally invasive approach is more effective in DRF patients and is a feasible surgical method.