Service de Chirurgie Orthopédique, Traumatologique et Urgence Main, Boulevard Tanguy Prigent, CHU de la Cavale Blanche, 29200 Brest, France.
Service de Chirurgie de la Main et des Nerfs Périphériques, 2 Boulevard Tonnellé, 37000 Tours, France.
Hand Surg Rehabil. 2024 Apr;43(2):101682. doi: 10.1016/j.hansur.2024.101682. Epub 2024 Mar 16.
Ulnocarpal impaction syndrome causes pain on the ulnar side of the wrist. Various surgical techniques have been described. Ulnar shortening osteotomy is now a standard treatment. However, it is associated with complications such as non-union of the osteotomy site. The main study objective was to report the rate of radiographic consolidation after ulnar shortening osteotomy with a cutting guide.
This multicenter retrospective study of 30 cases reported clinical and radiographic criteria at a minimum 6 month's follow-up.
The non-union rate was 3.4%. One case presented non-union of the osteotomy site. 87% of patients were satisfied or very satisfied with the procedure. Mean VAS pain rating was 2.7 ± 2.4. Mean QuickDASH and PRWE scores were 24.7 ± 19.2 and 28.6 ± 25. Mean strength on Jamar dynamometer was 27.4 ± 8.9 kg. One patient developed complex regional pain syndrome. Five patients required plate removal for hardware-related discomfort.
Ulna shortening osteotomy with the Aptus Wrist plate provides a standardized approach to the surgical treatment of ulnocarpal impaction syndrome. Compared with other series in the literature, the procedure provided satisfactory consolidation and clinical results.
尺侧腕撞击综合征会导致腕部尺侧疼痛。已经描述了各种手术技术。尺骨缩短截骨术现在是一种标准的治疗方法。然而，它与截骨部位不愈合等并发症有关。主要研究目的是报告使用切割导向器进行尺骨缩短截骨术后的放射学愈合率。
这是一项多中心回顾性研究，共 30 例病例报告了至少 6 个月随访时的临床和放射学标准。
不愈合率为 3.4%。一例出现了截骨部位不愈合。87%的患者对该手术过程满意或非常满意。平均 VAS 疼痛评分为 2.7±2.4。平均 QuickDASH 和 PRWE 评分为 24.7±19.2 和 28.6±25. 握力计平均握力为 27.4±8.9 千克。一名患者发生复杂性区域疼痛综合征。五名患者因与硬件相关的不适而需要取出钢板。
使用 Aptus 腕关节板进行尺骨缩短截骨术为尺侧腕撞击综合征的手术治疗提供了一种标准化方法。与文献中的其他系列相比，该手术提供了令人满意的愈合和临床结果。
