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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۱۱، صفحات ۶۷۷-۶۸۳

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عنوان انگلیسی Non:union: After Using Procedure-Specific Instrumentations for Ulnar Shortening Osteotomy
چکیده انگلیسی مقاله Objectives: The primary purpose of this study was to compare the rates of non:union: among different osteotomy designs (company brand) and the rates of non:union: between oblique and transverse osteotomies. We secondarily aimed to assess the differences in reoperation and hardware removal rates after ulnar shortening osteotomy (USO). Methods: A retrospective cohort study of patients undergoing ulnar shortening osteotomy between 2015 and 2022 in our institute amongst 17 providers resulted in 92 consecutive patients. We included skeletally mature patients who underwent USO for the ulnar impingement abutment diagnosis. Demographic information was collected, including age, gender, race/ethnicity, BMI, and medical comorbidities. Six brand-specific devices were used and compared to the conventional plate fixation. Non:union: was determined based on the final available radiograph with a minimum follow-up of four months. Results: Of the 92 patients, 83 (90%) had a bone :union:. There is a remarkable difference in :union: among implant brands, although statistical analysis was not performed due to the small number of patients in each group. Transverse osteotomy was significantly related to a higher non:union: rate. Out of nine patients with resultant non:union: (10%), three healed after revision surgery (3.2%), two were lost to follow-up (2.2%), and four remained asymptomatic despite radiographic non:union: (4.6%). Plate removal was performed in four patients (4.3%), all of whom were in the :union: group. Conclusion: Patients should be informed about the non:union: rate with possible subsequent secondary surgery. Using procedure-specific devices may have mitigated the risk of non:union:. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Hand, instrumentation systems, Osteotomy, outcomes, procedure-specific, ulnar

نویسندگان مقاله | Alexis Kasper
Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, USA


| Yashas Reddy
Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, USA


| Kyle Plusch
Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, USA


| Alexander Adams
Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, USA


| Pedro Beredjiklian
Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, USA


| Amir Kachooei
Rothman Orthopedics Florida at AdventHealth, Orlando, USA



نشانی اینترنتی https://abjs.mums.ac.ir/article_23268.html
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نوع مقاله منتشر شده RESEARCH PAPER
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