Li Zhao-Hui, Sun Zhong-Yi, Nie Zhen, Chen Yu, Nie Wei-Zhi
Department of Trauma Rehabilitation, Wendeng Osteopathic Hospital of Shandong, Weihai 264400, Shandong, China.
Beijing Institute of Technology, Beijing 100081, China.
Zhongguo Gu Shang. 2023 Sep 25;36(9):821-6. doi: 10.12200/j.issn.1003-0034.2023.09.006.
To retrospectively assess the advantages of the modified Uhl technique in the treatment of Colles' fracture guided by the principles of Chinese osteosynthesis (CO) concept.
A retrospective study was conducted on 358 patients with Colles' fracture treated with the modified Uhl technique of closed reduction and percutaneous pin between January 2016 and June 2021. Out of these, 120 eligible cases were selected and categorized into two groups according to different surgical methods:the closed reduction and percutaneous pin group, and the open reduction group. Sixty-eight patients in the closed reduction and percutaneous pin group were treated with the modified Uhl technique, while fifty-two patients in the open reduction group were treated with open reduction and internal fixation using plates. The modified Sarmiento imaging score, Gartland-Werley wrist score, operation time, hospital stay, and treatment costs between the two groups were compared at a 6-month postoperative follow-up.
There were no significant differences in terms of gender, age, affected side, injure factors, time of injury to surgery, Sarmiento imaging score, and Gartland-Werley wrist joint score (>0.05). The closed reduction and percutaneous pin group exhibited an operation time of (35.88±14.11) minutes, hospitalization stay of (9.78±2.48) days, and treatment costs of (16 074.91±1 964.48) yuan, while the open reduction group demonstrated comparatively longer operation time of (65.48±14.26) minutes, hospitalization stay of (15.88±2.00) days, and treatment costs of (20 451.27±1 760.22) yuan (<0.01).
The modified Uhl technique presents notable advantages in the management of Colles' fracture, including reliable fixation, less trauma, shorter operation time, less pain, shorter hospital stay, and cost-effectiveness. This technique exhibits promising potential for broader clinical application. However, it is important to note that the pin could potentially damage tendons, and in cases of Colles' fractures with osteoporosis and comminuted fragments, additional techniques may be required for reliable fixation.
回顾性评估改良乌尔技术在中国接骨术（CO）理念指导下治疗科雷氏骨折的优势。
对2016年1月至2021年6月采用改良乌尔闭合复位经皮穿针技术治疗的358例科雷氏骨折患者进行回顾性研究。从中选取120例符合条件的病例，根据不同手术方法分为两组：闭合复位经皮穿针组和切开复位组。闭合复位经皮穿针组68例患者采用改良乌尔技术治疗，切开复位组52例患者采用切开复位钢板内固定治疗。术后6个月随访时比较两组的改良萨米恩托影像学评分、加特兰 - 韦利腕关节评分、手术时间、住院时间和治疗费用。
两组在性别、年龄、患侧、受伤因素、受伤至手术时间、萨米恩托影像学评分和加特兰 - 韦利腕关节评分方面差异无统计学意义（>0.05）。闭合复位经皮穿针组手术时间为（35.88±14.11）分钟，住院时间为（9.78±2.48）天，治疗费用为（16074.91±1964.48）元；切开复位组手术时间较长，为（65.48±14.26）分钟，住院时间为（15.88±2.00）天，治疗费用为（20451.27±1760.22）元（<0.01）。
改良乌尔技术在科雷氏骨折治疗中具有显著优势，包括固定可靠、创伤小、手术时间短、疼痛轻、住院时间短和性价比高。该技术具有广阔的临床应用前景。然而，需要注意的是，穿针可能会损伤肌腱，对于骨质疏松和粉碎性骨折的科雷氏骨折病例，可能需要额外的技术来实现可靠固定。
