Volar Minimally Invasive Approach And Henry Approach In The Treatment Of Cooney Ⅲ Distal Radius Fractures With Locking Compression Plate

Objective to explore the curative effect comparison of volar minimally invasive approach and Henry approach in the treatment of Cooney III distal radius fractures with locking compression plate internal fixation,in order to provide the basis for the clinical treatment of distal radius fractures.Methods 84 patients with qualified distal radius fractures were collected from January 2017 to January 2020.The postoperative effects of metacarpal minimally invasive approach and Henry approach were observed.The bleeding,operation time,hospitalization time,1 day,2 day,3 day,1 week,2 week,1 month,3 month,6 month and 12 month were observed,The visual analogue pain score(VAS),Gartland and werley wrist function score and Mayo score were compared in June.The postoperative fracture reduction imaging indexes,fracture healing rate,incision infection,median nerve injury,flexor tendon irritation,osteoarthritis and other complications were compared.Result (1)In this study,a retrospective case-control study was selected.Patients with distal radius fractures were divided into two groups: volar minimally invasive approach group(44 cases);The Henry approach group included 40 patients.The general baseline data of patients with distal radius fractures included age,gender,body weight,BMI.Past history included history of hypertension,history of diabetes,and history of coronary heart disease.There was no significant difference in personal history of smoking,drinking and other information(P > 0.05).The results showed that there was no difference in the general baseline data between the palmar minimally invasive approach group and Henry approach group.(2)The operation time and anesthesia time of the Henry approach group were significantly lower than those of the palmar minimally invasive approach group(P < 0.05),the intraoperative blood loss was significantly higher than that of the palmar minimally invasive approach group(P < 0.05),and the incision length was significantly longer than that of the palmar minimally invasive approach group(P < 0.05);(3)In the comparison of VAS pain scores at 1 day,2 days,3 days and 1 week after operation of patients with distal radius fracture in palmar minimally invasive approach group was significantly lower than that in Henry approach group(P < 0.05);(4)In the comparison of Gartland and werley wrist function scores 1 day,2 day,3 day and 1 week after operation,the Gartland and werley wrist function scores of patients with distal radius fractures in palmar minimally invasive approach group were significantly higher than those in Henry approach group(P < 0.05);(5)In the comparison of Mayo scores 1 day,2 day,3 day and 1 week after operation,the Mayo scores of patients with distal radius fractures in the palmar minimally invasive approach group were significantly lower than those in the Henry approach group(P < 0.05);Conclusion Palmar minimally invasive approach can significantly reduce the early postoperative pain,which is conducive to the early postoperative recovery of wrist function.