| Autor: |
Paul H. C. Stirling, William M. Oliver, Nathan Ng, Christopher W. Oliver, Margaret M. McQueen, Samuel G. Molyneux, Andrew D. Duckworth |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Stirling, P H C, Oliver, W M, Ng, N, Oliver, C W, McQueen, M M, Molyneux, S & Duckworth, A 2022, ' Distal radius malunion : outcomes following an ulnar shortening osteotomy ', European Journal of Orthopaedic Surgery and Traumatology . https://doi.org/10.1007/s00590-022-03325-9 |
| Popis: |
Purpose Positive ulnar variance following a distal radius malunion can lead to ulnar-sided wrist pain, loss of grip strength, and distal radioulnar joint impingement. The primary aim of this study is to describe upper limb-specific functional outcomes following ulnar shortening osteotomy (USO) for ulnar-sided wrist pain associated with malunion of the distal radius. Methods We retrospectively identified 40 adult patients from a single centre over a 9-year period that had undergone an USO for symptomatic malunion of the distal radius. The primary outcome was the patient-rated wrist evaluation (PRWE). Secondary outcomes were the QuickDASH, EQ-5D-5L, complications, and net promoter score (NPS). Results Outcomes were available for 37 patients (93%). The mean age was 56 years and 25 patients were female (68%). At a mean follow-up of 6 years (range 1–10 years) the median PRWE was 11 (IQR 0–29.5), the median QuickDASH 6.8 (IQR 0–29.5), and the median EQ-5D-5L index was 0.88 (IQR 0.71–1). The NPS was 73. Complications occurred in nine patients (24%) and included non-union (n = 4), early loss of fixation requiring revision surgery (n = 1), superficial wound infection (n = 2), neurological injury (n = 1), and further surgery for symptomatic hardware removal (n = 1). Conclusions For patients with a symptomatic distal radius malunion where the predominant deformity is ulnar positive variance, this study has demonstrated that despite 1 in 4 patients experiencing a complication, USO can result in excellent patient reported outcomes with high levels of satisfaction. Level of Evidence III (Cohort Study). |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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