International Journal of Clinical Research

Objective To explore the differences in clinical effects between orthotopic preservation and suture of the anterior rotator muscle of the Henry approach and repair after incision in the treatment of distal radius fractures, and to provide evidence-based references for the selection of clinical surgical methods. Methods 80 patients with distal radius fractures admitted to our orthopedic department from January 2023 to December 2024 were selected as the research subjects. They were all treated with Henry's approach surgery and divided into an observation group (40 cases, protective stealth dissection and reduction fixation of the pronator abdominis tendon insertion complex) and a control group (40 cases, conventional reconstruction and repair of the pronator muscle after dissection) according to the different treatment methods of the pronator muscle. Compare the surgical related indicators, fracture healing status, degree of wrist joint function recovery, and incidence of postoperative complications between two groups of patients. Results The intraoperative bleeding in the observation group was significantly less than that in the control group, and the fracture healing time was significantly shorter than that in the control group, with statistically significant differences (P<0.05); The modified Mayo wrist joint function score of the control group was significantly lower than that of the observation group, and the difference between the two groups reached the statistical judgment standard (P<0.05); The overall probability of various postoperative complications in the observation group was significantly lower than that in the control group, and the statistical difference between the groups was significant (P<0.05). Conclusion When using the Henry approach surgical plan to treat patients with distal radius fractures, the treatment strategy of preserving and suturing the pronator muscle in situ can not only reduce invasive injuries during surgery, shorten the fracture recovery period, promote the reconstruction and recovery of wrist joint movement function, but also reduce the risk of postoperative adverse events. Its clinical practical value is significantly higher than that of traditional surgical methods such as myoabdominal cutting and reconstruction.

Henry approach; Anterior rotator muscle; Distal radius fracture; Wrist joint function; Clinical efficacy