Henry入路三角肌双间隙治疗AOC型桡骨远端骨折的临床研究OA

Objective:To investigate the clinical effect of Henry approach deltoid muscle double space in the treatment of AOC type distal radius fracture.Method:A total of 102 patients with AOC type distal radius fracture admitted to Gao'an People's Hospital from June 2021 to April 2023 were selected as the study objects and divided into two groups according to the random number table method,with 51 cases in each group.The control group was treated with the traditional approach,and the observation group was treated with Henry approach for deltoid muscle double space.Operation-related indexes,pain degree[visual analogue scale(VAS)],recovery of hand function[disabilities of the arm,shoulder and hand(DASH)]and incidence of postoperative complications of the two groups were observed.Result:The operation time,fracture healing time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05);and the intraoperative blood loss in the observation group was less than that in the control group(P<0.05).The VAS scores of the two groups at 1 d,1 month and 3 months after surgery compared with those before surgery,the differences were statistically significant(P<0.05);VAS scores of observation group were lower than those of control group at 1 d,1 month and 3 months after surgery(P<0.05).Three months after surgery,the DASH score of observation group was lower than that of control group(P<0.05).The incidence of complications was 3.92%in the observation group and 15.69%in the control group,the difference was statistically significant(P<0.05).Conclusion:Henry approach deltoid muscle double space treatment for AOC distal radius fracture can reduce intraoperative blood loss,shorten operative time and postoperative hospital stay,effectively promote fracture healing and hand function recovery,relieve pain and reduce complications.