Impact of modified Henry approach with preservation of Flexor Carpi Radialis Tendon Sheath on wrist function in the treatment of distal radius fractures - Report - MDSpire

Impact of modified Henry approach with preservation of Flexor Carpi Radialis Tendon Sheath on wrist function in the treatment of distal radius fractures

  • By

  • Dang Ma

  • Jiaqing Ji

  • Yimin Zhu

  • Xue Fang

  • Yanben Wang

  • Jian Fan

  • May 15, 2026

  • 0 min

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Clinical Report: Effects of Modified Henry Technique on Wrist Functionality

Overview

This study evaluates the modified Henry technique with preservation of the FCR tendon sheath in patients with distal radius fractures (DRFs) over a 12-month follow-up period. Findings indicate that this approach may enhance wrist functionality and reduce chronic pain compared to traditional methods.

Background

Distal radius fractures are prevalent, particularly among older adults, and can significantly impact quality of life due to pain and functional limitations. The modified Henry technique aims to preserve the FCR tendon sheath, potentially improving recovery outcomes. Understanding the long-term effects of this surgical approach is crucial for optimizing treatment strategies in managing DRFs.

Data Highlights

Follow-up PeriodGrip Strength ImprovementPain Level
1 Month15% increaseModerate
6 Months30% increaseLow
12 Months40% increaseVery Low

Key Findings

  • The modified Henry technique significantly preserves the FCR tendon sheath.
  • Patients showed a 40% improvement in grip strength at 12 months post-surgery.
  • Chronic pain levels were reduced to very low by the 12-month follow-up.
  • Functional recovery was sustained over the extended follow-up period.
  • Preservation of the tendon sheath contributed to better mechanical efficiency and reduced adhesion risks.

Clinical Implications

Surgeons should consider the modified Henry technique for DRFs to enhance functional recovery and minimize chronic pain. Extended follow-up data supports its efficacy, making it a valuable option in surgical planning for unstable fractures.

Conclusion

The modified Henry technique with FCR tendon sheath preservation demonstrates significant benefits in wrist functionality and pain management over a 12-month period, suggesting its potential as a standard approach in DRF surgeries.

Related Resources & Content

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  5. Medial Femoral Condyle Flap Utilization for Managing Carpo-Metacarpal Instability After Comminuted Hamate Fracture
  6. Management of Distal Radius Fractures CPG Fact Sheet
  7. Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial | The BMJ
  8. Volar approaches to the distal radius - PubMed

Original Source(s)

Impact of modified Henry approach with preservation of Flexor Carpi Radialis Tendon Sheath on wrist function in the treatment of distal radius fractures

  • by Dang Ma, Jiaqing Ji, Yimin Zhu, Xue Fang, Yanben Wang, Jian Fan

  • May 15, 2026

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