Outcomes of distal ulna locking plate in management of unstable distal ulna fractures: a prospective case series.
Case series
Distal ulna fractures
Distal ulna locking plate
Open reduction
Orthopedic procedures
Osteosynthesis
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
17
05
2022
accepted:
03
07
2022
medline:
19
5
2023
pubmed:
19
7
2022
entrez:
18
7
2022
Statut:
ppublish
Résumé
Given the absence of a satisfying plate system to deal with multifragmentary or subcapital distal ulnar fractures, the Distal Ulna Locking Plate (DUL, I.T.S. GmbH, Graz, Austria) could become a useful treatment option. This study aimed to evaluate the results of this anatomically pre-contoured plate regarding patients with unstable or displaced distal ulnar fractures. In a prospective clinical trial, 20 patients (18 female, two male; mean age 70 years (24-91 years)) with unstable or displaced distal ulna fractures between December 2010 and August 2015 were analyzed. All patients were treated with open reduction and internal fixation using the DUL. They were evaluated at three follow-up appointments at 3, 6 and 12 months postoperatively regarding their bone healing, ulnar variance (UV), range of motion (ROM) and grip strength. Patient related outcomes were measured using the Disability of the Arm, Shoulder and Hand (DASH), the Patient Rated Wrist Evaluation (PRWE) questionnaires, and the Visual Analogue Scale (VAS). The results after one year were compared to the outcome of the healthy contralateral side. All fractures treated with open reduction and internal fixation using the Distal Ulna Locking Plate healed within 6 months and showed stable ulnar variances after surgery. ROM (rotational plane 81.1 ± 9.0°, sagittal plane 55.1 ± 14.6°, frontal plane 33.0 ± 9.4°) and grip strength (18.7 ± 7.1 N) at the follow-up after 12 month had similar values compared with the uninjured side. The mean DASH score (36.4 ± 29.0), the PRWE-score (14.5 ± 27.0), and the VAS (at rest 0.5 ± 1.1, during activity 1.2 ± 2.4) after one year had no significant difference to the uninjured side. The surgeon's overall satisfaction rate regarding plate handling reached 81.8%. Stabilization of unstable distal ulna fractures using the DUL restores nearly normal anatomy and function. Its pre-countered design, volar placement, and enhanced stability present a satisfying plate system. The trial was retrospectively Registered at www. gov on 16 December 2021 (Trial Registration Number: NCT05329012).
Identifiants
pubmed: 35849186
doi: 10.1007/s00402-022-04549-4
pii: 10.1007/s00402-022-04549-4
pmc: PMC10191927
doi:
Banques de données
ClinicalTrials.gov
['NCT05329012']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3137-3144Informations de copyright
© 2022. The Author(s).
Références
Am J Ind Med. 1996 Jun;29(6):602-8
pubmed: 8773720
J Bone Joint Surg Am. 2007 Dec;89(12):2619-24
pubmed: 18056493
J Hand Ther. 2001 Apr-Jun;14(2):128-46
pubmed: 11382253
Arch Orthop Trauma Surg. 2008 Aug;128(8):847-55
pubmed: 18465137
J Hand Surg Am. 2007 Jul-Aug;32(6):801-5
pubmed: 17606057
Eur J Orthop Surg Traumatol. 2014 Dec;24(8):1407-13
pubmed: 24566964
J Wrist Surg. 2015 Aug;4(3):188-93
pubmed: 26261745
Int Orthop. 2001;25(1):43-5
pubmed: 11374267
Injury. 1988 Jul;19(4):235-8
pubmed: 3229833
Arch Orthop Trauma Surg. 2011 Jan;131(1):85-91
pubmed: 20521060
J Hand Surg Am. 2004 Jan;29(1):103-9
pubmed: 14751112
Hand (N Y). 2011 Dec;6(4):378-83
pubmed: 23204963
J Hand Surg Eur Vol. 2009 Oct;34(5):592-7
pubmed: 19687083
Injury. 1981 Jan;12(4):283-7
pubmed: 7263030
J Hand Surg Asian Pac Vol. 2017 Jun;22(2):236-239
pubmed: 28506164
BMC Med Res Methodol. 2005 Oct 04;5:31
pubmed: 16202149
J Wrist Surg. 2013 Feb;2(1):87-92
pubmed: 24436795
J Bone Joint Surg Br. 1984 May;66(3):408-10
pubmed: 6725352
Clin Orthop Relat Res. 1996 Jun;(327):135-46
pubmed: 8641057
Yonsei Med J. 2002 Oct;43(5):631-6
pubmed: 12402377
Hand (N Y). 2018 Mar;13(2):215-222
pubmed: 28391754
Tech Hand Up Extrem Surg. 2007 Dec;11(4):224-30
pubmed: 18090826
Injury. 2021 Mar;52(3):524-531
pubmed: 33268076
Hand (N Y). 2009 Dec;4(4):391-6
pubmed: 19241113
Indian J Orthop. 2011 Sep;45(5):410-6
pubmed: 21886921
J Hand Surg Br. 1995 Jun;20(3):357-64
pubmed: 7561413
Orthopedics. 2012 Sep;35(9):e1358-64
pubmed: 22955402
Acta Orthop. 2020 Feb;91(1):104-108
pubmed: 31680591
J Hand Ther. 2004 Jan-Mar;17(1):18-23
pubmed: 14770134
Clin Exp Rheumatol. 2008 Nov-Dec;26(6):1047-58
pubmed: 19210869