Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome
Abstract Background Ulnar shortening osteotomy (USO) is a common surgical procedure for the treatment of ulnar impaction syndrome (UIS). The purpose of this study was to compare the results of metaphyseal and diaphyseal USO. Methods This retrospective study compared the clinical outcomes and compli...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-022-06070-6 |
| _version_ | 1797958788068671488 |
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| author | Haoyu Yang Weiya Qi Fei Zhang Qian Zhang Yuzhou Liu Zhengfeng Lu Jingyi Mi Gang Zhao |
| author_facet | Haoyu Yang Weiya Qi Fei Zhang Qian Zhang Yuzhou Liu Zhengfeng Lu Jingyi Mi Gang Zhao |
| author_sort | Haoyu Yang |
| collection | DOAJ |
| description | Abstract Background Ulnar shortening osteotomy (USO) is a common surgical procedure for the treatment of ulnar impaction syndrome (UIS). The purpose of this study was to compare the results of metaphyseal and diaphyseal USO. Methods This retrospective study compared the clinical outcomes and complications of 32 patients who underwent diaphyseal step-cut USO (n = 10), diaphyseal oblique USO (n = 12), or metaphyseal USO (n = 10). Results Patient characteristics, ulnar variance, wrist range of motion, preoperative pain, grip strength, and functional scores (quick disability of the arm, shoulder, and hand and patient-rated wrist evaluation) were comparable. Both operation time (79.5 vs. 138/139 min) and incision length (7.80 vs. 9.67/13.00 cm) were shorter in the metaphyseal USO than in the diaphyseal oblique/step-cut USO. Compared with diaphyseal oblique/step-cut USO, metaphyseal osteotomies were associated with greater improvement in the pain on postoperative day 3 and shorter bone healing time. The requirements for implant removal were the same among the three groups. No complications were observed in any group. Conclusion Compared with diaphyseal USO, metaphyseal USO has advantages for operation time and incision length, early postoperative pain, bone healing in UIS management. The results suggested that metaphyseal USO could be widely applied to the surgical treatment of UIS. However, the long-term outcomes of these techniques still require further evaluation using more large-scale, randomized clinical trials. |
| first_indexed | 2024-04-11T00:24:45Z |
| format | Article |
| id | doaj.art-196ca243722340ffbd3765b89a52ce47 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T00:24:45Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-196ca243722340ffbd3765b89a52ce472023-01-08T12:03:14ZengBMCBMC Musculoskeletal Disorders1471-24742023-01-012411810.1186/s12891-022-06070-6Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndromeHaoyu Yang0Weiya Qi1Fei Zhang2Qian Zhang3Yuzhou Liu4Zhengfeng Lu5Jingyi Mi6Gang Zhao7Department of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Xuzhou Renci HospitalDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityDepartment of Orthopedics, Wuxi 9th People’s Hospital affiliated to Soochow UniversityAbstract Background Ulnar shortening osteotomy (USO) is a common surgical procedure for the treatment of ulnar impaction syndrome (UIS). The purpose of this study was to compare the results of metaphyseal and diaphyseal USO. Methods This retrospective study compared the clinical outcomes and complications of 32 patients who underwent diaphyseal step-cut USO (n = 10), diaphyseal oblique USO (n = 12), or metaphyseal USO (n = 10). Results Patient characteristics, ulnar variance, wrist range of motion, preoperative pain, grip strength, and functional scores (quick disability of the arm, shoulder, and hand and patient-rated wrist evaluation) were comparable. Both operation time (79.5 vs. 138/139 min) and incision length (7.80 vs. 9.67/13.00 cm) were shorter in the metaphyseal USO than in the diaphyseal oblique/step-cut USO. Compared with diaphyseal oblique/step-cut USO, metaphyseal osteotomies were associated with greater improvement in the pain on postoperative day 3 and shorter bone healing time. The requirements for implant removal were the same among the three groups. No complications were observed in any group. Conclusion Compared with diaphyseal USO, metaphyseal USO has advantages for operation time and incision length, early postoperative pain, bone healing in UIS management. The results suggested that metaphyseal USO could be widely applied to the surgical treatment of UIS. However, the long-term outcomes of these techniques still require further evaluation using more large-scale, randomized clinical trials.https://doi.org/10.1186/s12891-022-06070-6Retrospective studyUISDiaphyseal USOMetaphyseal USO |
| spellingShingle | Haoyu Yang Weiya Qi Fei Zhang Qian Zhang Yuzhou Liu Zhengfeng Lu Jingyi Mi Gang Zhao Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome BMC Musculoskeletal Disorders Retrospective study UIS Diaphyseal USO Metaphyseal USO |
| title | Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| title_full | Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| title_fullStr | Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| title_full_unstemmed | Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| title_short | Comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| title_sort | comparison of diaphyseal and metaphyseal ulnar shortening osteotomies for the treatment of ulnar impaction syndrome |
| topic | Retrospective study UIS Diaphyseal USO Metaphyseal USO |
| url | https://doi.org/10.1186/s12891-022-06070-6 |
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