Objective:

To analyze the sustained efficacy of the modified Henry approach with FCR tendon sheath preservation on wrist function recovery in patients with distal radius fractures over a 12-month follow-up, emphasizing the definition of 'sustained efficacy'.

Key Findings:

• The modified Henry technique with sheath preservation showed improved wrist functionality compared to the traditional approach, with statistically significant differences in grip strength and pain control at 12 months postoperatively.
• Preservation of the FCR tendon sheath contributed to better early functional recovery and reduced complications.

Interpretation:

The findings suggest that preserving the FCR tendon sheath during distal radius fracture surgery enhances long-term wrist function and may lead to better patient outcomes.

Limitations:

• Retrospective design may introduce selection bias, potentially affecting the reliability of the results.
• Single-center study limits generalizability of results, as findings may not apply to other settings.
• Lack of randomization in group assignment may introduce confounding variables.

Conclusion:

The modified Henry technique with FCR tendon sheath preservation is beneficial for wrist functionality recovery in distal radius fractures, providing a reliable surgical reference for clinical practice and suggesting potential improvements in patient outcomes.