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Ulnar shortening osteotomy after Colles fracture.

机译:Colles骨折后尺骨缩短截骨术。

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摘要

Ulnar shortening is well accepted in the treatment of ulnar abutment but less so in patients with a shortened radius and ulnar-sided wrist pain as a result of a Colles fracture. Sixteen patients with pain and reduced range of movement (ROM) and a median preoperative ulnar positive variance of 5 mm (range 0.5-11) had 17 osteotomies. Nine were male and seven female with a median age of 35 (range 15-55) years were operated on. Fifteen patients with 16 osteotomies could be reached for follow-up. The ulna was shortened by a median of 4.5 mm (range 3-12). The median pain score was reduced by 3 points (range 0-5). Postoperative ROM was improved in nine, unchanged in six, and reduced in one wrists. There were four complications: one re-fracture, two transient paraesthesiae, and one superficial infection. Seven of the patients regarded the result as excellent, six as good, three as fair, and none regarded it as poor. Thirteen of the 16 would have chosen the operation again, three would not.
机译:尺骨缩短在尺骨基台的治疗中已被广泛接受,但对于因radius氏骨折而fracture短且尺侧腕部疼痛的患者则不是如此。 16例疼痛且活动范围缩小(ROM)并且术前尺骨正中差异为5 mm(范围0.5-11)的患者进行了17处截骨术。接受手术的男性为9例,女性为7例,中位年龄为35岁(15-55岁)。可以对15例16处截骨的患者进行随访。尺骨缩短了4.5毫米(范围3-12)。中位疼痛评分降低了3分(范围为0-5)。术后ROM改善了9例,而6例没有改变,而一只手腕则减少了。有四种并发症:一种是再骨折,两种是短暂的感觉异常和一种是浅表感染。其中七名患者认为结果极好,六名认为良好,三名认为中等,没有人认为结果很差。 16人中有13人会再次选择手术,而3人则不会。

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