Consolidation rate in ulnar shortening osteotomy with the APTUS Wrist plate

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2024-04-01 DOI:10.1016/j.hansur.2024.101682

Thomas Daoulas , Mathilde Bernard , Arthur Dellestable , Hoel Letissier , Guillaume Bacle , Clara Sos

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引用次数: 0

Abstract

Introduction

Ulnocarpal impaction syndrome causes pain on the ulnar side of the wrist. Various surgical techniques have been described. Ulnar shortening osteotomy is now a standard treatment. However, it is associated with complications such as non-union of the osteotomy site.

The main study objective was to report the rate of radiographic consolidation after ulnar shortening osteotomy with a cutting guide.

Material and methods

This multicenter retrospective study of 30 cases reported clinical and radiographic criteria at a minimum 6 month’s follow-up.

Results

The non-union rate was 3.4%. One case presented non-union of the osteotomy site. 87% of patients were satisfied or very satisfied with the procedure. Mean VAS pain rating was 2.7 ± 2.4. Mean QuickDASH and PRWE scores were 24.7 ± 19.2 and 28.6 ± 25. Mean strength on Jamar dynamometer was 27.4 ± 8.9 kg. One patient developed complex regional pain syndrome. Five patients required plate removal for hardware-related discomfort.

Discussion

Ulna shortening osteotomy with the Aptus Wrist plate provides a standardized approach to the surgical treatment of ulnocarpal impaction syndrome. Compared with other series in the literature, the procedure provided satisfactory consolidation and clinical results.

查看原文本刊更多论文

使用 APTUS 腕关节钢板进行尺骨缩短截骨术的巩固率。

简介尺骨嵌顿综合征会导致手腕尺侧疼痛。目前已有多种手术方法。尺骨缩短截骨术是目前的标准治疗方法。然而，它也与截骨部位不愈合等并发症有关。研究的主要目的是报告使用切割导板进行尺骨缩短截骨术后的X光片巩固率：这项多中心回顾性研究对 30 个病例进行了至少 6 个月的随访，报告了临床和影像学标准：结果：不愈合率为3.4%。结果：不愈合率为 3.4%，其中一例出现截骨部位不愈合。87%的患者对手术表示满意或非常满意。平均 VAS 疼痛评分为 2.7 ± 2.4。QuickDASH和PRWE评分的平均值分别为（24.7 ± 19.2）和（28.6 ± 25.）。Jamar 测力计的平均力量为 27.4 ± 8.9 公斤。一名患者出现了复杂性区域疼痛综合征。五名患者因硬件相关不适而需要移除钢板：讨论：使用万通腕关节钢板进行尺骨缩短截骨术为尺骨嵌顿综合征的手术治疗提供了一种标准化方法。与其他文献相比，该手术的巩固和临床效果令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.