Document Detail


A prospective study on the initial results of a low profile ulna shortening osteotomy system.
MedLine Citation:
PMID:  19784704     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Extra-articular ulna shortening osteotomy, in principle, is an accepted treatment option for symptomatic degenerative and traumatic triangular fibrocartilage complex (TFCC) tears. Despite the benefits of this surgical approach, potential disadvantages include risk of nonunion, soft tissue irritation, and the need for future hardware removal. A recently introduced low profile ulna shortening system was designed to decrease these potential complications. A single-surgeon prospective study was performed to evaluate this system. Ten consecutive patients undergoing ulna shortening for ulnar-sided wrist pain compatible with TFCC pathology participated in the study. Subjective, objective, and radiographic assessments were performed preoperatively and up to 24 weeks postoperatively. Based on visual analog scale (VOS) ratings (0 to 10), pain scores significantly improved (p < 0.05) and average patient satisfaction was 8.7. DASH and PRWE scores improved at three month follow-up (p < 0.05). Osteotomy healing time averaged 10.3 weeks, and there were no nonunions. Average discomfort associated with palpation of the plate at final follow-up was 3.3 (using VOS), and one patient requested removal of the hardware. In this short-term follow-up study, the assessed ulna shortening system appears effective and, in general, well tolerated.
Authors:
Jonathan Isaacs; Susan B Howard; Daniel Gulkin
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Publication Detail:
Type:  Journal Article     Date:  2009-09-22
Journal Detail:
Title:  Hand (New York, N.Y.)     Volume:  5     ISSN:  1558-9455     ISO Abbreviation:  Hand (N Y)     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2012-06-11     Completed Date:  2012-08-23     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  101264149     Medline TA:  Hand (N Y)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  148-54     Citation Subset:  -    
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