I Abulsoud Mohamed, Elmarghany Mohammed, Zakaria Ahmed R, Alshal Ehab A, Moawad Mohamed, Elzahed Ehab A, Elhalawany Mohamed F, Kornah Bahaa A
Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Department of Orthopedic Surgery, Faculty of Medicine, Helwan University, Cairo, Egypt.
Adv Orthop. 2024 Dec 24;2024:5663025. doi: 10.1155/aort/5663025. eCollection 2024.
The purpose of this study is to investigate the outcomes of the use of a 2.7 mm semitubular hook plate for internal fixation of unstable metaphyseal ulnar fractures. Between January 2015 and July 2019, 30 consecutive patients with a recent unstable distal ulnar fracture were included in this prospective case series. All patients were subjected to follow-up with the time of union, range of motion, pain using a Visual Analog Scale (VAS), and radiological and functional outcome using the quick Disabilities of the Arm, Shoulder, and Hand (DASH) score and Mayo wrist score after 12 months. The mean age of the patients was 45.3 ± 10 years. There were 18 males (60%) and 12 females (40%), and there were 16 patients associated with distal radius fractures (53.33%). According to the AO classification of distal ulnar fractures, 3 fractures were type A2.1 (10%), 9 were type A2.2 (30%), 8 fractures were type A2.3 (26.67%), and 10 fractures were type A3 (33.33%). All fractures have been united with a mean duration of 9 ± 1.4 weeks, the mean supination was 81.4° ± 3.5°, the mean pronation was 81.3° ± 4.5°, the mean flexion was = 71.7° ± 3.6°, and the mean extension was = 81.7° ± 3.4°. The mean VAS was 1.1 ± 1 points, the mean DASH score was 9.3 ± 5.6 points, and the mean Mayo wrist score was 88.5 ± 7.2 points; 17 patients were excellent (56.67%) and 10 patients were good (33.33%) while 3 patients had satisfactory outcome (10%). Using the 2.7 mm semitubular hook plate is a successful choice for internal fixation of unstable distal ulnar fractures isolated or associated with distal radius fractures with a favorable union time, functional outcome, and range of motion with minimal complications.
本研究的目的是探讨使用2.7毫米半管状钩钢板内固定不稳定型尺骨远端干骺端骨折的疗效。在2015年1月至2019年7月期间，本前瞻性病例系列纳入了30例近期发生不稳定型尺骨远端骨折的连续患者。所有患者均接受随访，记录骨折愈合时间、活动范围、使用视觉模拟量表（VAS）评估的疼痛情况，以及12个月后使用手臂、肩部和手部功能障碍快速评估量表（DASH）评分和梅奥腕关节评分评估的影像学和功能结果。患者的平均年龄为45.3±10岁。男性18例（60%），女性12例（40%），16例患者合并桡骨远端骨折（53.33%）。根据尺骨远端骨折的AO分类，3例骨折为A2.1型（10%），9例为A2.2型（30%），8例骨折为A2.3型（26.67%），10例骨折为A3型（33.33%）。所有骨折均已愈合，平均愈合时间为9±1.4周，平均旋后角度为81.4°±3.5°，平均旋前角度为81.3°±4.5°，平均屈曲角度为71.7°±3.6°，平均伸展角度为81.7°±3.4°。平均VAS评分为1.1±1分，平均DASH评分为9.3±5.6分，平均梅奥腕关节评分为88.5±7.2分；17例患者结果为优（56.67%），10例患者结果为良（33.33%），3例患者结果为满意（10%）。对于孤立的或合并桡骨远端骨折的不稳定型尺骨远端骨折，使用2.7毫米半管状钩钢板进行内固定是一种成功的选择，骨折愈合时间良好，功能结果和活动范围佳，并发症最少。
