Department of Orthopedic Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Clin Orthop Surg. 2020 Mar;12(1):130-134. doi: 10.4055/cios.2020.12.1.130. Epub 2020 Feb 13.
Distal ulnar fractures are commonly accompanied by distal radial fractures, and several treatment options such as plate osteosynthesis and pinning with Kirschner's wires are used. In this study, we present a technique using headless compression screws to achieve bony union of distal ulnar fractures. From November 2016 to November 2018, we treated 11 patients with distal ulnar fractures combined with distal radial fractures with headless compression screws (DePuy Synthes). Patients were instructed to maintain a short-arm splint for less than two weeks after the treatment. The mean time to bony union was 6.5 weeks, mean Quick Disabilities of the Arm, Shoulder, and Hand score was 14.6 points, and mean visual analog scale score was 1.09 points. Full range of motion was possible in all directions after surgery and no specific complications were observed. The suggested technique allows minimal incision and minimally invasive intramedullary fixation and can promote bony union in a simple way without specific complications.
尺骨远端骨折常伴有桡骨远端骨折，有多种治疗方法，如钢板内固定和克氏针固定。在本研究中，我们介绍了一种使用无头加压螺钉实现尺骨远端骨折骨性愈合的技术。2016 年 11 月至 2018 年 11 月，我们使用无头加压螺钉（DePuy Synthes）治疗了 11 例尺骨远端骨折合并桡骨远端骨折的患者。治疗后，患者被指示使用短臂夹板少于两周。骨性愈合的平均时间为 6.5 周，平均 Quick Disabilities of the Arm, Shoulder, and Hand 评分 14.6 分，平均视觉模拟评分 1.09 分。术后所有方向的活动范围均正常，无特殊并发症。该技术可进行最小切口和微创髓内固定，并以简单的方式促进骨性愈合，无特定并发症。
