可延长外固定架辅助下尺骨截骨缩短术治疗重度尺骨正变异

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Abstract Objective To investigate the method and efficacy of ulnar osteotomy in the treatment of severe ulnar positive variance (≥10mm) with the assistance of extendable external fixator.Methods From April 2018 to April 2020，a total of 7 patients with severe long ulna and wrist pain admitted to our department were selected，including 4 males and 3 females.The years ranged from 19 to 67 years with an average ago of (43.51±2.26) years.There were 4 cases of left wrist and 3 cases of right wrist.All patients were treated with ulna trapezoidal osteotomy assisted by extendable external fixator.The Cooney wrist scoring system was used to evaluate the treatment effect before and after surgery.The pain，function，range of motion and grip strength were observed.Results All osteotomies healed.The postoperative followup period was 6 to 30 months，with an average of (17.70±3.31) months.The preoperative score of Cooney wrist score was (45.68±5.16)，and the evaluation results were fair in 1 case and poor in 6 cases.The postoperative score was (90.31±7.30)，and the evaluation results were excellent in 4 cases and good in 3 cases.These results were significantly different before and after operation (P＜0.05).The operation had ideal results.
Conclusion The application of extendable external fixator assisted ulnar osteotomy in the treatment of severe ulna positive variation can effectively reduce the difficulty of the operation，and finally relieve the clinical symptoms of wrist pain，grip strength reduction，wrist joint activity limitation.

Key words： ulnar positive variance ulna shortening osteotomy extendable external fixator

Corresponding Authors: Li Jin

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	Liu Zhenyu
	Tian Jia
	Wang Yufeng
	Li Jin

Cite this article:

Liu Zhenyu,Tian Jia,Wang Yufeng, et al. Extendable External Fixator Assisted Ulnar Osteotomy for Severe Ulnar Positive Variance[J]. sygkzz, 2023, 29(2): 106-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I2/106

［1］马炜，田文.尺骨撞击综合征诊断与治疗［J］.中国骨与关节杂志，2014，3(3)：213-215.
［2］胡建炜，尚如国.尺骨截骨短缩术治疗尺骨正变异患者的创伤性腕三角纤维软骨复合体损伤临床疗效观察［J］.广州医科大学学报，2022，50(1)：71-74.
［3］Iniesta A，Bonev B，Curvale C，et al.Outcomes of ulnar shortening osteotomy using a new compression plate［J］.Hand Surg Rehabil，2020，39(1)：19-22.
［4］Johnson NA，Dias R，Dias JJ.Ulnar variance in distal radial fractures：Assessment and interpretation［J］.J Hand Surg Eur Vol，2022，47(6)：597-604.
［5］宋玉鑫，王增平，刘林，等.马德隆畸形的研究进展［J］.中国骨伤，2017，30(10)：976-978.
［6］Steffen L，Marion M，Thomas P，et al.Ulnar shortening osteotomy for malunited distal radius fractures：results of a 7-year follow-up with special regard to the grade of radial displacement and post-operative ulnar variance［J］.Arch Orthop Trauma Surg，2014，134(1)：131-137.
［7］Gelberman RH，Salamon PB，Jurist JM，et al.Ulnar variance in Kienbock's disease［J］.J Bone Joint Surg (Am)，1975，57(5)：674-676.
［8］韦露，阎海威，胡居正，等.带袢钢板固定修复下尺桡关节脱位的临床疗效观察［J］.实用骨科杂志，2019，25(8)：738-740.
［9］Stirling P，Oliver WM，Ng N，et al.Distal radius malunion：outcomes following an ulnar shortening osteotomy［J］.Eur J Orthop Surg Traumatol，2022(7)：35794424.
［10］Leibig N，Lampert F M，Haerle M.Ulnocarpal Impaction［J］.Hand Clin，2021，37(4)：553-562.
［11］赵国勇，王易，刁常乐.尺骨远端截骨缩短内固定术治疗尺骨撞击综合征的早期疗效［J］.实用骨科杂志，2017，23(12)：1123-1125.
［12］于宁，王彦生，叶放，等.“V”形尺骨短缩截骨术治疗尺骨撞击综合征［J］.中华手外科杂志，2019，35(5)：385-386.
［13］Owens J，Compton J，Day M，et al.Nonunion rates among ulnar-shortening osteotomy for ulnar impaction syndrome：A systematic review［J］.J Hand Surg Am，2019，44(7)：611-612.
［14］Peymani A，Johnson AR，Dowlatshahi AS，et al.Surgical management of madelung deformity：A systematic review［J］.Hand (N Y)，2019，14(6)：725-734.