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Abstract：
Purpose This study aimed to compare the clinical outcomes of patients who underwent volar plate osteosynthesis for high-energy distal radius fracture (DRFx) and carpal tunnel release (CTR) for acute or subacute carpal tunnel syndrome (CTS) with patients who did not undergo CTR. Methods This study is a retrospective evaluation of all high-energy DRFx treated with volar plate osteosynthesis in a regional hospital between January 2021 and January 2023. All adult patients (≥18 years) who underwent open reduction and internal fixation were included in the study after obtaining approval from the internal review board of our institution. Only patients who underwent plate osteosynthesis of the volar aspect through a modified Henry incision and patients who underwent CTR through a classic separate incision were included in the study. Clinical results include hand dynamometry, visual analog scale (VAS) scores, and physical examination findings of patients who underwent volar plate osteosynthesis because of high-energy DRFx and CTR due to CTS in the acute and subacute periods were retrospectively examined. Results Among the patients who underwent volar plate osteosynthesis because of high-energy DRFx, no statistically significant difference was detected between the hand grip strength and VAS scores of patients who underwent CTR because of acute CTS and subacute CTS at the sixth postoperative week (p>0.05). Conclusion Prophylactic CTR may be performed in the same session in selected cases, such as DRFx caused by a high-energy injury, to establish a scale for DRFx at a high risk of CTS and avoid delays in treatment. CTR for transient CTS detected in the subacute period during outpatient follow-up does not improve clinical outcomes.
摘要：
目的本研究旨在比较接受掌侧钢板接骨术治疗桡骨远端高能量骨折（DRFx）和腕管松解术（CTR）治疗急性或亚急性腕管综合征（CTS）的患者与未接受CTR的患者的临床结果。方法这项研究是对2021年1月至2023年1月在地区医院接受掌侧钢板接骨术治疗的所有高能量DRFx的回顾性评估。所有接受切开复位和内固定的成年患者（≥18岁）在获得我们机构内部审查委员会的批准后纳入研究。本研究仅包括通过改良的Henry切口进行掌侧钢板接骨术的患者和通过经典的单独切口进行CTR的患者。临床结果包括手测力，视觉模拟量表(VAS)评分，对急性和亚急性期因CTS引起的高能DRFx和CTR而接受掌侧钢板接骨术的患者的体格检查结果进行了回顾性研究。结果高能DRFx行掌侧钢板接骨术的患者中,在术后第6周因急性CTS和亚急性CTS而接受CTR的患者的手握力和VAS评分之间无统计学差异（p>0.05）。结论预防性CTR可在同一疗程中进行。比如高能损伤引起的DRFx，建立高CTS风险的DRFx量表，避免延误治疗。在门诊随访期间亚急性期检测到的短暂性CTS的CTR并不能改善临床结果。
