The Duration of Bone Healing and Nonunion Ratio After Ulnar Shortening Osteotomy Using a 5-Hole Forearm Compression Plate With Transverse Osteotomy.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-05-01 Epub Date: 2023-12-24 DOI:10.1177/15589447231218402

Shunpei Hama, Koji Moriya, Hisao Koda, Naoto Tsubokawa, Yutaka Maki, Hiroaki Nakamura

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引用次数: 0

Abstract

Background: Ulnar shortening osteotomy using various osteotomy sites, osteotomy methods, and surgical techniques with a variety of implants has been reported, but nonunion rates and the duration of bone healing are not uniform by the authors. The purpose of this study was to investigate the duration of bone healing and nonunion ratio in patients who underwent ulnar shortening osteotomy by a 5-hole nonlocking plate with a simple transverse osteotomy for ulnar impaction syndrome and to determine the correlation between the gap length of the osteotomy site and the duration of bone healing.

Methods: We assessed patients who underwent ulnar shortening osteotomy for ulnar impaction syndrome using a 5-hole nonlocking plate fixation followed by a simple transverse osteotomy between July 2012 and October 2021. This study was a case series study, and the level of evidence was IV.

Results: A total of 80 patients were included. The mean age of the patients was 46.7 years, and 46 patients were men. The average bone union period was 41.8 ± 18.7 weeks. The correlation between the gap length of the osteotomy site and the duration of bone union of the osteotomy site was not significant. The nonunion ratio of our method was 2.5%.

Conclusion: The nonunion rate of our ulnar shortening osteotomy with a simple transverse osteotomy and a 5-hole nonlocking plate was comparable to that in previous reports, but our method required slightly longer periods for bone union. There was no correlation between the gap length of the osteotomy and the duration of bone union.

Level of evidence: Level IV (Case series).

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使用 5 孔前臂加压钢板和横向截骨术进行尺骨缩短截骨术后的骨愈合持续时间和不愈合率。

背景：有报道称，尺骨缩短截骨术采用了不同的截骨部位、截骨方法和手术技巧，并植入了多种假体，但作者们对非愈合率和骨愈合持续时间的看法并不一致。本研究的目的是调查接受尺骨缩短截骨术的患者的骨愈合持续时间和骨不愈合率，该术式采用五孔非锁定钢板，并进行了简单的横向截骨，以治疗尺骨嵌顿综合征，并确定截骨部位的间隙长度与骨愈合持续时间之间的相关性：我们对2012年7月至2021年10月期间因尺桡骨嵌顿综合征接受尺骨缩短截骨术的患者进行了评估，这些患者使用了5孔无锁钢板固定，然后进行了简单的横向截骨术。本研究为病例系列研究，证据等级为IV级：共纳入 80 例患者。患者的平均年龄为 46.7 岁，其中 46 人为男性。平均骨结合时间为（41.8 ± 18.7）周。截骨部位的间隙长度与截骨部位骨结合时间的相关性不显著。我们的方法的骨不连率为 2.5%：结论：我们的尺骨缩短截骨术采用简单的横向截骨和5孔无锁钢板，其不愈合率与之前的报告相当，但我们的方法需要稍长的骨结合时间。截骨的间隙长度与骨结合的时间没有相关性：证据等级：IV级（病例系列）

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.