Risk factors for ulnar superficialis slip resection.

IF 0.9 4区医学 Q3 ORTHOPEDICS

Journal of Plastic Surgery and Hand Surgery Pub Date : 2025-09-02 DOI:10.2340/jphs.v60.44583

Kenan Guvenc, Sebnem Eker Guvenc

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引用次数: 0

Abstract

Background: The aim of our study is to investigate the preoperativeerative risk factors of the necessity of ulnar slip recection (USSR) in addition to A1 pulley release in patients with proximal interphalangael (PIP) joint flexion contracture.

Methods: Patients were divided into two groups. The patients who underwent A1 pulley release in group 1, and patients who underwent USSR in addition to A1 pulley release in group 2. Demographic characteristics, preoperativeerative Visual Analog Scale (VAS), Quick Disabilities Of The Arm, Shoulder, and Hand (qDASH), contracture degree, symptom duration, comorbidities, PIP joint tenderness, comorbidities, postoperative VAS and qDASH score information at the 6th month were obtained from the patient files.

Results: There were 13 male and 31 female patients in group 1 and 7 male and 24 female patients in group 2. The mean age was 61.67 years in group 1 (p = 0.506). PIP joint tenderness was present in 27 patients in group 1 and 37 patients in group 2 (p = 0.717). The average time from symptom onset to operation was 2.65 months in group 1 and 3.87 months in group 2 (p = 0.002). The mean preoperativeerative VAS was 3.34 in group 1 and 4.34 in group 2 (p = 0.001). The mean preoperativeerative qDASH score was 21.89 in group 1 and 25.14 in group 2 (p = 0.926). Preoperativeerative mean contracture degree was 17.02 degrees in group 1 and 22.18 degrees in group 2 (p = 0). Conclusion: Higher preoperative VAS score, preoperativeerative symptom duration, PIP joint contracture and lower qDASH score lead to the need for USSR. Patients should be informed accordingly and surgery plans should be made accordingly.

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尺浅表肌滑脱切除术的危险因素。

背景：本研究的目的是探讨近端指间节（PIP）关节屈曲挛缩患者术前需要尺侧滑动切除（USSR）和A1滑轮释放的危险因素。方法：将患者分为两组。第一组为行A1滑轮松解术的患者，第二组为在A1滑轮松解术的基础上行苏联减压术的患者。从患者档案中获取人口学特征、术前视觉模拟量表（VAS）、手臂、肩和手的快速残疾（qDASH）、挛缩程度、症状持续时间、合并症、PIP关节压痛、合并症、术后6个月VAS和qDASH评分信息。结果：1组男性13例，女性31例；2组男性7例，女性24例。1组患者平均年龄为61.67岁（p = 0.506）。1组27例、2组37例患者出现PIP关节压痛（p = 0.717）。1组患者出现症状至手术时间平均为2.65个月，2组患者平均为3.87个月（p = 0.002）。1组患者术前VAS均值为3.34,2组患者术前VAS均值为4.34 （p = 0.001）。术前qDASH评分1组为21.89分，2组为25.14分（p = 0.926）。术前1组平均挛缩度17.02度，2组平均挛缩度22.18度（p = 0）。结论：术前VAS评分较高，术前症状持续时间较长，PIP关节挛缩，qDASH评分较低，需要进行前苏联治疗。应及时告知患者，制定相应的手术计划。

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

Journal of Plastic Surgery and Hand Surgery ORTHOPEDICS-SURGERY

CiteScore

2.10

自引率

0.00%

发文量

108

审稿时长

6-12 weeks

期刊介绍： The purpose of the Journal of Plastic Surgery and Hand Surgery is to serve as an international forum for plastic surgery, hand surgery and related research. Interest is focused on original articles on basic research and clinical evaluation. The scope of the journal comprises: • Articles concerning operative methods and follow-up studies • Research articles on subjects related to plastic and hand surgery • Articles on cranio-maxillofacial surgery, including cleft lip and palate surgery. Extended issues are published occasionally, dealing with special topics such as microvascular surgery, craniofacial surgery, or burns. Supplements, usually doctoral theses, may also be published. The journal is published for the Acta Chirurgica Scandinavica society and sponsored by the Key Foundation, Sweden. The journal was previously published as Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery.