Maltepe University Medical Faculty, Department of Orthopedics and Traumatology, Istanbul, Maltepe, Turkey.
Maltepe University Medical Faculty, Department of Orthopedics and Traumatology, Istanbul, Maltepe, Turkey.
Orthop Traumatol Surg Res. 2021 Dec;107(8):103082. doi: 10.1016/j.otsr.2021.103082. Epub 2021 Sep 25.
Most of the studies on ulna fractures assess the treatment of fractures accompanied by other tissue injuries; thus, the number of studies focused directly on isolated distal ulna fractures are very few. In this study, it was aimed to evaluate the short-term results of open reduction internal fixation (ORIF) and autograft+ORIF approaches in the treatment of isolated distal ulna fractures.
Using autograft in the surgical treatment of isolated distal ulna fractures with open reduction internal fixation improves short-term clinical outcomes.
The records of isolated distal ulna fractures (distal one-third) operated at the Maltepe University Hospital Orthopedics and Traumatology Clinic between January 2009 and December 2019 were retrospectively reviewed. The cases were divided into two groups according to surgical approach, ORIF (n=40) or autograft+ORIF (n=34).
The mean age was 41.55±12.42 years. 52.7% of the cases were female, 67.6% of the fractures were right-sided, and 37.8% of the traumas causing the fracture were high-energy trauma. There was no significant difference between the ORIF and autograft+ORIF groups in terms of age, gender, side and severity of trauma (p>0.05). It was found that pseudoarthrosis development was significantly more prevalent in the ORIF group (25%) compared to the autograft+ORIF group (5.9%) (p=0.026). The median (1st quartile-3rd quartile) time to union was 16 (14-17) weeks in the ORIF group, and 9.5 (8.5-12) weeks in the autograft+ORIF group. Compared to ORIF, the time to union was significantly shorter with the autograft+ORIF procedure (p<0.001). At both the 3rd and 12th month follow-up examinations, the autograft+ORIF group was found to have significantly higher MAYO score and grip strength, and lower DASH score, compared to the ORIF group.
When an autograft is used in addition to ORIF in the surgical treatment of isolated distal ulna fractures, the bone heals faster, pseudoarthrosis develops less frequently, and short-term (3rd and 12th months) functional results are better.
III; therapeutic study.
大多数关于尺骨骨折的研究都评估了伴有其他组织损伤的骨折的治疗方法，因此，直接关注单纯尺骨远端骨折的研究很少。本研究旨在评估切开复位内固定（ORIF）和自体骨+ORIF 治疗单纯尺骨远端骨折的短期疗效。
在切开复位内固定治疗单纯尺骨远端骨折中使用自体骨可改善短期临床疗效。
回顾性分析 2009 年 1 月至 2019 年 12 月在马尔泰佩大学医院骨科和创伤科就诊的单纯尺骨远端（三分之一段）骨折患者的病历。根据手术方式将病例分为两组，ORIF（n=40）或自体骨+ORIF（n=34）。
平均年龄为 41.55±12.42 岁。52.7%的病例为女性，67.6%的骨折为右侧，37.8%的骨折为高能量创伤。ORIF 组和自体骨+ORIF 组在年龄、性别、侧别和创伤严重程度方面无显著差异（p＞0.05）。ORIF 组的骨不连发生率（25%）明显高于自体骨+ORIF 组（5.9%）（p=0.026）。ORIF 组的愈合时间中位数（1 四分位距-3 四分位距）为 16（14-17）周，自体骨+ORIF 组为 9.5（8.5-12）周。与 ORIF 相比，自体骨+ORIF 术式的愈合时间明显缩短（p＜0.001）。在第 3 个月和第 12 个月的随访中，自体骨+ORIF 组的 Mayo 评分和握力均显著高于 ORIF 组，而 DASH 评分则显著低于 ORIF 组。
在单纯尺骨远端骨折的手术治疗中，当 ORIF 中加入自体骨时，骨愈合更快，骨不连发生率更低，短期（第 3 个月和第 12 个月）功能结果更好。
III；治疗性研究。
