Taux de consolidation de l’ostéotomie accourcissante de l’ulna par plaque APTUS Wrist

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2024-12-01 DOI:10.1016/j.hansur.2024.101829

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

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Abstract

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

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

This is a multicenter retrospective series of 30 cases reporting clinical and radiographic criteria with a minimum 6-month follow-up.

The non-union rate was 3.4%. One case presented a non-union of the osteotomy site. 87% of patients were satisfied or very satisfied with the procedure. Mean VAS pain was 2.7 (standard deviation 2.4). The QuickDash and PRWE averages were 24.7 (standard deviation 19.2) and 28.6 (standard deviation 25.3). Mean Jamar dynamometer strength was 27.4 kg (standard deviation 8.9). One patient developed complex regional pain syndrome. Five patients required plate removal for hardware-related discomfort.

The Aptus wrist plate ulna shortening osteotomy provides a standardized approach to the surgical treatment of ulnar impingement syndromes of the carpus. Compared with other series in the literature, this procedure provides a satisfactory consolidation rate and clinical results.

The Aptus wrist plate ulna shortening osteotomy provides good outcomes for the treatment of ulnar carpal impingement syndrome.

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APTUS腕板加速骨切除术巩固率

尺腕撞击综合征导致手腕尺侧疼痛。各种手术技术已被描述。尺侧缩短截骨术现在是治疗腕尺侧撞击综合征的标准方法。然而，它与诸如截骨部位不愈合等并发症有关。本研究的主要目的是报道尺侧短截骨带切割导片后的影像学巩固率。这是一个多中心回顾性系列研究，报告了30例临床和放射学标准，随访至少6个月。非工会率为3.4%。1例出现截骨部位不愈合。87%的患者对手术满意或非常满意。VAS疼痛平均2.7（标准差2.4）。QuickDash和PRWE的平均值分别为24.7（标准差19.2）和28.6（标准差25.3）。Jamar测功机的平均强度为27.4 kg（标准差8.9）。一名患者出现了复杂的局部疼痛综合征。5例患者因硬件相关不适需要取下钢板。Aptus腕钢板尺骨缩短截骨术为手术治疗腕骨尺撞击综合征提供了一种标准化的方法。与文献中其他系列手术相比，该手术具有令人满意的巩固率和临床效果。Aptus腕钢板尺骨短截骨术治疗尺腕撞击综合征效果良好。

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.