PDF(Pubmed)
Abstract：
UNASSIGNED: Although several techniques for the treatment of ulnar impaction syndrome (UIS) have been introduced, there have still been reports on various complications such as delayed union, nonunion, refracture, wrist pain, plate irritation, and chronic regional pain syndrome. This study aimed to compare the differences in radiological and clinical outcomes of patients in which intramedullary bone grafting was performed in addition to plate stabilization with those without additional bone grafting during ulnar shortening osteotomies (USOs).
UNASSIGNED: Between November 2014 and June 2021, 53 wrists of 50 patients with idiopathic UIS were retrospectively reviewed. Patients were divided into 2 groups according to whether intramedullary bone grafting was performed. Among the 53 wrists, USO with an intramedullary bone graft was performed in 21 wrists and USO without an intramedullary bone graft was performed in 32 wrists. Demographic data and factors potentially associated with bone union time were analyzed.
UNASSIGNED: There was no significant difference between the 2 groups when comparing postoperative radioulnar distance, postoperative ulnar variance, amount of ulnar shortening, and postoperative Disabilities of the Arm, Shoulder and Hand score. Compared to the without-intramedullary bone graft group, bone union time of the osteotomy site was significantly shortened, from 8.8 ± 3.0 weeks to 6.7 ± 1.3 weeks in the with-intramedullary bone graft group. Moreover, there were no cases of nonunion or plate-induced symptoms. Both in univariable and multivariable analyses, intramedullary bone grafting was associated with shorter bone union time.
UNASSIGNED: USO with an intramedullary bone graft for idiopathic UIS has favorable radiological and clinical outcomes. The advantage of this technique is the significant shortening of bone union time.
UNASSIGNED: Between November 2014 and June 2021, 53 wrists of 50 patients with idiopathic UIS were retrospectively reviewed. Patients were divided into 2 groups according to whether intramedullary bone grafting was performed. Among the 53 wrists, USO with an intramedullary bone graft was performed in 21 wrists and USO without an intramedullary bone graft was performed in 32 wrists. Demographic data and factors potentially associated with bone union time were analyzed.
UNASSIGNED: There was no significant difference between the 2 groups when comparing postoperative radioulnar distance, postoperative ulnar variance, amount of ulnar shortening, and postoperative Disabilities of the Arm, Shoulder and Hand score. Compared to the without-intramedullary bone graft group, bone union time of the osteotomy site was significantly shortened, from 8.8 ± 3.0 weeks to 6.7 ± 1.3 weeks in the with-intramedullary bone graft group. Moreover, there were no cases of nonunion or plate-induced symptoms. Both in univariable and multivariable analyses, intramedullary bone grafting was associated with shorter bone union time.
UNASSIGNED: USO with an intramedullary bone graft for idiopathic UIS has favorable radiological and clinical outcomes. The advantage of this technique is the significant shortening of bone union time.
摘要：
■尽管已经介绍了几种治疗尺骨撞击综合征（UIS）的技术，仍然有关于各种并发症的报道，例如延迟的工会，骨不连,再断裂,手腕疼痛,板刺激，和慢性局部疼痛综合征。这项研究旨在比较尺骨缩短截骨术（USOs）中除钢板稳定外还进行了髓内植骨的患者的放射学和临床结果的差异。
■2014年11月至2021年6月，对50例特发性UIS患者的53例手腕进行了回顾性分析。根据是否进行髓内植骨将患者分为2组。在53个手腕中，在21个手腕中进行了髓内骨移植的USO，在32个手腕中进行了无髓内骨移植的USO。分析了人口统计学数据和与骨愈合时间潜在相关的因素。
■两组在比较术后的尺桡骨距离时没有显着差异，术后尺骨变异，尺骨缩短量，和术后手臂的残疾，肩和手得分。与无髓内植骨组相比，截骨部位的骨愈合时间明显缩短，髓内植骨组从8.8±3.0周到6.7±1.3周。此外，没有病例出现骨不连或钢板诱发的症状.在单变量和多变量分析中，髓内植骨与较短的骨愈合时间相关。
■USO联合髓内植骨治疗特发性UIS具有良好的放射学和临床效果。该技术的优点是显著缩短骨愈合时间。
■2014年11月至2021年6月，对50例特发性UIS患者的53例手腕进行了回顾性分析。根据是否进行髓内植骨将患者分为2组。在53个手腕中，在21个手腕中进行了髓内骨移植的USO，在32个手腕中进行了无髓内骨移植的USO。分析了人口统计学数据和与骨愈合时间潜在相关的因素。
■两组在比较术后的尺桡骨距离时没有显着差异，术后尺骨变异，尺骨缩短量，和术后手臂的残疾，肩和手得分。与无髓内植骨组相比，截骨部位的骨愈合时间明显缩短，髓内植骨组从8.8±3.0周到6.7±1.3周。此外，没有病例出现骨不连或钢板诱发的症状.在单变量和多变量分析中，髓内植骨与较短的骨愈合时间相关。
■USO联合髓内植骨治疗特发性UIS具有良好的放射学和临床效果。该技术的优点是显著缩短骨愈合时间。
