A prospective comparative study of Henry versus Thompson approach in radius shaft fracture fixation: functional and surgical outcomes

Jayanth Bisaleri; Raghukumar Jogadh; Manoj Kumar Veerappa; L. Karthik

doi:10.18203/issn.2455-4510.IntJResOrthop20263922

Authors

Jayanth Bisaleri Department of Surgery, Orthopaedics, J. J. M. Medical College, Davangere, Karnataka, India
Raghukumar Jogadh Department of Surgery, Orthopaedics, J. J. M. Medical College, Davangere, Karnataka, India
Manoj Kumar Veerappa Department of Surgery, Orthopaedics, J. J. M. Medical College, Davangere, Karnataka, India
L. Karthik Department of Surgery, Orthopaedics, J. J. M. Medical College, Davangere, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20263922

Keywords:

Thompson approach, Radius shaft fracture, Internal fixation, Function outcome, Henry approach

Abstract

Background: Surgical fixation of radius shaft fractures typically employs either the Henry (volar) or Thompson (dorsal) approach. This study compares their functional outcomes, intraoperative parameters, and complications.

Methods: A prospective study of 60 patients undergoing open reduction and internal fixation (ORIF) for isolated radius shaft fractures from January 2025 to June 2026. Patients were divided into Henry (n=30) and Thompson (n=30) groups. Outcomes assessed included DASH scores, range of motion (ROM), grip strength, time to union, operative time, blood loss, and complications.

Results: The Henry group showed better early wrist flexion, forearm supination (p<0.05), and final DASH scores, indicating superior functional recovery. The Thompson group had longer operative times and higher rates of extensor tendon irritation. Union rates were similar across both groups.

Conclusions: The Henry approach offers improved functional outcomes and fewer complications, making it the preferred option for most radius shaft fractures.

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