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논문 기본 정보

자료유형
학술저널
저자정보
Kyung Wook Kim (Department of Orthopaedic Surgery Dankook University College of Medicine Cheonan Korea) Ju Hyun Kim (Department of Orthopaedic Surgery Dankook University College of Medicine Cheonan Korea) Jeong-Sang Kim (Department of Orthopedic Surgery Dankook University College of Medicine Cheonan Korea) Bum Jin Shin (Department of Orthopaedic Surgery Kyungpook National University Chilgok Hospital Daegu Korea) Jong Pil Kim (Department of Orthopaedic Surgery Naeunpil Hospital Cheonan Korea)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery Vol.27 No.4
발행연도
2022.12
수록면
279 - 284 (6page)
DOI
10.12790/ahm.22.0054

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Purpose This study investigated the impact of plate type on the clinical and radiological outcomes of ulnar shortening osteotomy (USO) by comparing conventional and ulnar osteotomy plates. The effect of interfragmentary screw fixation (ISF) during USO was also assessed.Methods Seventy-eight patients were divided into three groups according to the type of plate: 3.5-mm dynamic compression plate (DCP), 3.5-mm limited contact DCP, and 2.7-mm locking compression plate ulna osteotomy system (all from Depuy-Synthes). The patients were also divided into two groups according to whether ISF was performed. Clinical and radiological outcomes, including time to bone union, presence of delayed union, and refracture after hardware removal, were analyzed. Other factors that might affect bone union, such as smoking and underlying diseases, were also evaluated.Results No significant differences were found in clinical and radiological outcomes according to the type of plate. Eight of 51 patients (15.7%) in the without-ISF group showed delayed bone union. Forty-three patients in the without-ISF group underwent hardware removal, and refracture due to low-energy trauma after hardware removal was observed in five of those 43 patients (11.6%). Bone union time was significantly shorter in the with-ISF group (7.6±2.7 weeks vs. 9.8±6.6 weeks). Diabetes mellitus and ISF were associated with the delayed bone union.Conclusion The plate type had no influence on the clinical and radiological outcomes of USO in patients with idiopathic ulnar impaction syndrome. However, ISF during USO has several advantages, such as early bony union and prevention of refracture after hardware removal.

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