Chun S, Palmer A K
State University of New York, Department of Orthopedic Surgery, Syracuse 13202.
J Hand Surg Am. 1993 Jan;18(1):46-53. doi: 10.1016/0363-5023(93)90243-V.
Thirty wrists of 27 patients with ulnar impaction syndrome who underwent ulnar shortening osteotomy were retrospectively reviewed. The average follow-up was 51 months. The wrists were graded preoperatively and postoperatively according to a wrist-grading system modified from Gartland and Werley. The parameters of grading included pain, function, range of motion, grip strength, radiographic analysis, bony union, and complications. Twenty-four wrists were graded excellent, 4 good, 1 fair, and 1 poor after the surgery in comparison with 28 poor and 2 fair before the operative treatment. Complications were rare, with no ulnar nonunions. This long-term follow-up study revealed that distal ulnar shortening osteotomy is an excellent procedure for the treatment of ulnar impaction syndrome.
对27例接受尺骨短缩截骨术的尺骨撞击综合征患者的30个腕关节进行了回顾性研究。平均随访时间为51个月。根据从Gartland和Werley改良而来的腕关节分级系统对腕关节进行术前和术后分级。分级参数包括疼痛、功能、活动范围、握力、影像学分析、骨愈合及并发症。与手术治疗前28个差和2个尚可的腕关节相比，术后24个腕关节评为优，4个为良，1个为可，1个为差。并发症罕见，无尺骨不愈合情况。这项长期随访研究表明，尺骨远端短缩截骨术是治疗尺骨撞击综合征的一种极佳方法。
