Henry Versus Thompson Approach for Fixation of Proximal Third Radial Shaft Fractures: A Multicenter Study

被引：4

作者：

Dashe, Jesse ^{[1
]}

Murray, Brett ^{[1
]}

Tornetta, Paul, III ^{[1
]}

Grott, Kelly M. ^{[2
]}

Mullis, Brian ^{[2
]}

Bellevue, Kate D. ^{[3
]}

Firoozabadi, Reza ^{[3
]}

Kempegowda, Harish ^{[4
]}

Horwitz, Daniel S. ^{[4
]}

Patel, Shaan ^{[5
,6
]}

Fontenot, Philip B. ^{[5
,6
]}

Mir, Hassan R. ^{[5
,6
]}

Ruder, John A. ^{[7
]}

Bosse, Michael J. ^{[7
]}

Westberg, Jerald ^{[8
]}

Sandberg, Benjamin ^{[8
]}

Bramlett, Kasey J. ^{[9
]}

Marcantonio, Andrew J. ^{[9
]}

Sadauskas, Alex J. ^{[10
]}

Cannada, Lisa K. ^{[10
]}

Goodwin, Alexandra ^{[11
]}

Miller, Anna N. ^{[11
]}

Fox, Mary Patricia ^{[12
]}

Klatman, Samuel H. ^{[12
]}

机构：

[1] Boston Med Ctr, Dept Orthopaed, Boston, MA USA

[2] Indiana Univ, Dept Orthopaed, Indianapolis, IN 46204 USA

[3] Univ Washington, Dept Orthopaed, Seattle, WA 98195 USA

[4] Geisinger Med Ctr, Dept Orthopaed, Danville, PA 17822 USA

[5] Univ S Florida, Orthopaed Trauma Serv, Florida Orthopaed Inst, Tampa, FL 33620 USA

[6] Univ S Florida, Dept Orthopaed, Tampa, FL 33620 USA

[7] Carolinas Med Ctr, Dept Orthopaed, Charlotte, NC 28203 USA

[8] Hennepin Cty Med, Dept Orthopaed, Minneapolis, MN USA

[9] Lahey Clin Fdn, Dept Orthopaed, Burlington, MA USA

[10] St Louis Univ, Dept Orthopaed, St Louis, MO 63103 USA

[11] Wake Forest, Dept Orthopaed, Winston Salem, NC USA

[12] Louisiana State Univ, Dept Orthopaed, Kenner, LA USA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 2020年 / 34卷 / 02期

关键词：

radial shaft fracture; proximal radial shaft fracture; volar versus dorsal approach; SURGICAL EXPOSURES;

D O I：

10.1097/BOT.0000000000001651

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Objective: To compare the volar Henry and dorsal Thompson approaches with respect to outcomes and complications for proximal third radial shaft fractures. Design: Multicenter retrospective cohort study. Patients/Participants: Patients with proximal third radial shaft fractures +/- associated ulna fractures (OTA/AO 2R1 +/- 2U1) treated operatively at 11 trauma centers were included. Intervention: Patient demographics and injury, fracture, and surgical data were recorded. Final range of motion and complications of infection, neurologic injury, compartment syndrome, and malunion/nonunion were compared for volar versus dorsal approaches. Main Outcome: The main outcome was difference in complications between patients treated with volar versus dorsal approach. Results: At an average follow-up of 292 days, 202 patients (range, 18-84 years) with proximal third radial shaft fractures were followed through union or nonunion. One hundred fifty-five patients were fixed via volar and 47 via dorsal approach. Patients treated via dorsal approach had fractures that were on average 16 mm more proximal than those approached volarly, which did not translate to more screw fixation proximal to the fracture. Complications occurred in 11% of volar and 21% of dorsal approaches with no statistical difference. Conclusions: There was no statistical difference in complication rates between volar and dorsal approaches. Specifically, fixation to the level of the tuberosity is safely accomplished via the volar approach. This series demonstrates the safety of the volar Henry approach for proximal third radial shaft fractures.

引用

页码：108 / 112

页数：5

共 12 条

[1] Surgical Exposures of the Radius and Ulna [J].