Ulna shortening osteotomy versus arthroscopic wafer procedure in the treatment of ulnocarpal impingement syndrome

Auzias, Pierre; Delarue, R.; Camus, Emmanuel; Overstraeten, Luc Van

doi:10.1016/j.hansur.2020.10.012

Cited by 17 publications

(26 citation statements)

References 37 publications

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“…Minami and Kato 7 reported that 92% of their patients returned to their usual work. Auzias et al 27 reported an RTW time of 32 weeks. Lastly, Papatheodorou et al 4 reported an average RTW of 16 weeks in all patients.…”

Section: Discussionmentioning

confidence: 99%

Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients

Teunissen

Feitz

Shaer

et al. 2022

The Journal of Hand Surgery

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§k on behalf of the Hand-Wrist Study Group, Brigitte Van der Heijden, PhD, MD*{ Purpose The primary aim of this study was to analyze the median time until patients performed their usual work following an ulnar shortening osteotomy (USO). The secondary aim was to identify factors influencing the median time until return to their usual work.Methods We used a retrospective cohort of patients with ongoing data collection from our institution in the Netherlands. Patients with paid employment who underwent USO were invited to complete a return-to-work questionnaire at 6 weeks, 3 months, 6 months, and 12 months after surgery. The probability of and median time until return to usual work were assessed using an inverted Kaplan-Meier analysis. Factors influencing the return to usual work were evaluated using multivariable Cox proportional hazard regression.Results In total, 111 patients who underwent USO were included, with a mean age of 46 years. The probability of returning to usual work in the first year was 92%, and the median time was 12 weeks. The type of work was independently associated with a return to work, with median times of 8, 12, and 14 weeks for light, moderate, and heavy physical work, respectively. We did not find differences in return to usual work based on age, sex, duration of complaints until surgery, treatment side, smoking status, the preoperative Patient-Rated Wrist Evaluation score, or whether the osteotomy was performed freehand or with an external cutting device.Conclusions Half of the patients that underwent USO fully performed their usual work by 12 weeks following surgery. We found that 92% of the patients performed their usual work within 1 year after surgery. We found a large variation in the time until a return to work based on the type of work. Surgeons can use this data to inform patients on the rehabilitation phase after USO.

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Section: Discussionmentioning

confidence: 99%

Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients

Teunissen

Feitz

Shaer

et al. 2022

The Journal of Hand Surgery

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“…[8][9][10] Los parámetros se revisan para determinar los resultados clínico-funcionales informados por el paciente: rango de movimiento (ROM), puntaje de dolor de la escala analógica visual (EVA), discapacidades del brazo, (QuickDASH) Cuestionario de hombro y mano. [11][12][13] Las complicaciones se evaluaron a los 12 meses. (15.38%).…”

Section: Videounclassified

“…[8][9][10] Parameters are reviewed to determine Clinical-functional patient-reported outcomes: Range of motion (ROM), Visual Analog Scale (VAS) pain score, Disabilities of the Arm, Shoulder, and Hand (QuickDASH) Questionnaire. [11][12][13] Complications were assessed at 12 months. (15.38%).…”

Section: Palabras Clavementioning

confidence: 99%

Ulna Shortening Osteotomy Combined Arthroscopy augmentation for Ulnar Impaction Syndrome: A prospective Analysis

Aita

Cardoso

Silva

et al. 2023

Revista Iberoamericana de Cirugía de la Mano

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Resumén Objetivo Este estudio tuvo como objetivo mostrar los resultados clínicos y reportados por los pacientes obtenidos con osteotomía de acortamiento cubital (OAC) combinada con artroscopia en síndromes de impactación cubital (SIC) en pacientes activos. Materiales y Métodos En este estudio clínico prospectivo, se asignó a 13 pacientes a someterse a osteotomía de acortamiento cubital (OAC) definitiva combinada con artroscopia para el síndrome de impactación cubital (SIC). La fuerza de agarre, el rango de movimiento (ROM), la medida de resultado de discapacidades del brazo, el hombro y la mano (QuickDASH), la puntuación de la escala analógica visual (EVA) para el dolor y las características radiográficas se evaluaron a los 6 y 12 meses. Descripción de la técnica Se utiliza una incisión longitudinal para exponer el cúbito. Se preperfora un sistema de acortamiento de cúbito específico para realizar osteotomías separadas por la longitud de acortamiento deseada. Posteriormente, realización de artroscopia de muñeca para realizar técnica de microfractura en el semilunar, piramidal, cabeza de cúbito con punción específica (Chondro Pick,20° by Arthrex®, Na-ples,USA). Se reparó complejo del fibrocartílago triangular (CFCT) y lunopiramidal (LP). Resultados EVA 2.77. La media de QuickDASH fue de 4. Dos pacientes presentaron retraso en la consolidación y se resolvieron con tratamiento no quirúrgico. Conclusión Se encontró que la OAC con artroscopia es un método de tratamiento definitivo, seguro y confiable para SIC en pacientes activos. Los resultados de la EVA y la fuerza de prensión predicen la restauración de la capacidad de los pacientes activos para realizar las actividades de la vida diaria (AVD) de forma independientes.

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“…Ulnar shortening osteotomy (USO) is routinely used to restore ulnar variance. In addition, arthroscopic wafer procedure (AWP) involving resection of the ulnar head and TFCC debridement has yielded encouraging results [3,4], and is associated with fewer complications, earlier recovery and fewer procedures compared to USO [5,6]. However, AWP is useful in cases with ulnar positive variance ranging from 1 to 4 mm [4,7], while USO is preferable for restoring greater ulnar variance.…”

Section: Introductionmentioning

confidence: 99%

A Novel Method for Precise Ulna-Shortening Osteotomy

Yang

Zhang

et al. 2023

Preprint

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Background: Ulnar impaction syndrome caused by positive ulnar variance often requires ulnar shortening osteotomy (USO) to unload the ulnocarpal joint. The therapeutic effect of USO in treatment of ulnar impaction syndrome is limited due to complications such as hardware irritation, non-union rotation and angulation. Despite various devices have been introduced to overcome these limitations, more accurate and simple devices are still needed. The purpose of this study was to introduce a novel method of the ortho-bridge fixation system combined with 3D-printed guide plate to achieve precise ulnar shortening osteotomy with less complications simply. Methods: This was a retrospective study comprising nine patients with ulnar impaction syndrome who underwent ulnar shortening osteotomy by this method. The CT scan data of patients were retrieved for printing the osteotomy guide plate. The ortho-bridge system served as ulnar shortening and internal fixation. The outcome measurements included the time to union, complications, range of motion, grip strength and wrist pain. Results: The ulna was shortened successfully in all of the nine cases without rotation and angulation. Non-union was not observed in any of the cases during follow-up between 12 months after surgery. The range of motion, grip strength and wrist pain also improved following surgery (p<0.05). Conclusion: The ortho-bridge internal fixation system combined with 3D-printed osteotomy guide effectively simplified the procedure, and restored ulnar variance without rotation, angulation and non-union. It is a reliable method for treating ulnocarpal impaction syndrome through ulnar shortening osteotomy.

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Ulna shortening osteotomy versus arthroscopic wafer procedure in the treatment of ulnocarpal impingement syndrome

Cited by 17 publications

References 37 publications

Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients

Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients

Ulna Shortening Osteotomy Combined Arthroscopy augmentation for Ulnar Impaction Syndrome: A prospective Analysis

A Novel Method for Precise Ulna-Shortening Osteotomy

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