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首页> 外文期刊>Journal of Hand Surgery. American Volume >Complications following one-bone forearm surgery for posttraumatic forearm and distal radioulnar joint instability
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Complications following one-bone forearm surgery for posttraumatic forearm and distal radioulnar joint instability

机译：创伤后前臂和尺ul远端关节不稳定的单骨前臂手术后的并发症

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Purpose: To present the outcomes after one-bone forearm (OBF) surgery for chronic posttraumatic forearm and distal radioulnar joint instability. Methods: We conducted a retrospective chart review to study patients who underwent OBF surgery because of a traumatic etiology. We collected patient demographics, surgical technique, preoperative and postoperative range of motion, final grip strength, and complications from the medical records. Patients were asked to complete the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, a 0- to 10-point pain scale, and a 0- to 10-point treatment satisfaction scale. Results: There were 5 male and 5 female patients, with a mean age of 32 years at the time of OBF surgery (range, 17-44 y). The mean number of procedures before OBF surgery was 3.6 (range, 2-7); 4 patients had undergone a Darrach procedure and 3 patients had undergone a Sauvé-Kapandji procedure. The median clinical follow-up duration was 6 years (range, 1-17 y). Wrist and elbow range of motion did not change remarkably before and after surgery. Of 8 primary OBF surgeries, 3 resulted in nonunion. Of 10 patients, 4 experienced painful impingement of the remaining proximal radius on adjacent bone and soft tissue and required a total of 7 procedures after OBF surgery. The median follow-up duration for patient-rated outcomes was 10 years (range, 5-21 y; n = 7). The median Quick Disabilities of the Arm, Shoulder, and Hand questionnaire score was 77, the median pain score was 7, and the median satisfaction score was 7. Conclusions: In our experience, complications after OBF surgery are common. Although wrist and elbow range of motion were spared, pain persisted and functional outcomes were poor. One-bone forearm surgery is our last resort for a chronically painful and unstable forearm. Type of study/level of evidence: Therapeutic IV.
机译：目的：介绍慢性创伤后前臂和尺ul远端关节不稳定的一臂前臂（OBF）手术后的结果。方法：我们进行了回顾性图表审查，以研究因创伤病因而进行了OBF手术的患者。我们从病历中收集了患者的人口统计资料，手术技术，术前和术后的运动范围，最终的握力和并发症。要求患者填写《手臂，肩膀和手部快速残疾》问卷，0至10点疼痛量表和0至10点治疗满意度量表。结果：OBF手术时平均年龄32岁，男5例，女5例（范围17-44岁）。 OBF手术前的平均手术次数为3.6次（范围2-7）; 4例患者接受了Darrach手术，3例患者进行了Sauvé-Kapandji手术。中位临床随访时间为6年（范围1-17年）。手术前后手腕和肘部的运动范围没有明显变化。在8例主要的OBF手术中，有3例导致骨不连。在10例患者中，有4例在剩余的近端radius骨上遭受了痛苦的撞击，邻近骨和软组织受到冲击，OBF手术后总共需要进行7道手术。患者评估结果的中位随访时间为10年（范围5-21岁; n = 7）。手臂，肩部和手部快速残疾的中位数为77，疼痛中位数为7，满意度中位数为7。结论：根据我们的经验，OBF手术后的并发症很常见。尽管腕部和肘部的活动范围不存在，但疼痛持续存在，功能预后较差。对于慢性疼痛和不稳定的前臂，单骨前臂手术是我们的最后选择。研究类型/证据级别：治疗IV。

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