Objective To investigate the surgical technique and clinical effect of the trans-brachioradialis ap-proach in the open reduction,internal fixation of radial distal fractures.Methods 65 patients diagnosed with distal radi-us fractures treated surgically from 2015 to 2016 were enrolled in this study and analyzed retrospectively.The classical Henry′s approach and trans-brachioradialis approach were compared using healing rate,reduction of distal radius,range of joint motion and Dienst score.Results Among 65 patients,forty received surgery in Henry approach,while twenty-five in trans-brachioradialis approach.All patients were followed up for more than one year and achieved satisfactory re-sults.There was no significant difference between the two groups in postoperative volar tilting angle(11.49 ±2.06)° VS.(10.92 ±1.92)°,P>0.05).No loss of reduction,delayed healing or nonunion occurred in both groups.Range of wrist motion revealed no significant difference between groups at 1 month,3 months and 1 year postoperative.There was no significant difference in dienst score between the two groups after one year(χ2=2.265,P>0.05).No statistical sig-nificance was observed in the observation of surgical complications.Conclusion The open reduction and internal fixa-tion using trans-brachioradialis approach has satisfactory clinical effect and is a suitable alternative for the treatment of distal radius fractures.%目的 探讨掌侧经肱桡肌入路切开复位内固定手术治疗桡骨远端骨折的手术方法及临床疗效.方法 回顾2015-2016年行手术治疗的桡骨远端骨折患者,对比掌侧传统Henry入路及经肱桡肌入路手术术后骨折愈合情况、桡骨远端形态恢复情况、腕关节活动范围以及综合Dienst评分.结果 研究共纳入65例患者,其中采用Henry入路者40例,采用经肱桡肌入路者25例,所有患者均随访超过1年,并获得满意效果,两组患者掌倾角差异无统计学意义[Henry入路:(11.49 ±2.06)°,经肱桡肌入路:(10.92 ±1.92)°,P>0.05].术后1个月两组患者均未出现复位丢失、延迟愈合或不愈合情况.术后1个月、3个月及1年患者关节活动度两组患者差异无统计学意义.术后1年两组患者Dienst评分差异无统计学意义(χ2=2.265,P>0.05).观察手术并发症差异无统计学意义.结论 掌侧经肱桡肌入路切开复位内固定手术具有满意的临床效果,是治疗桡骨远端骨折的合适备选方案.
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