Analysis of the Efficacy of Different Ulna Osteotomies for Ulnar Impingement Syndrome
Objective To compare the effects of intra-articular ulnar resection and ulnar osteotomy in patients with ulnar impingement syndrome.Methods A retrospective analysis was conducted on 42 patients with ulnar impingement syndrome admitted to Tangshan People'Hospital from February 2021 to February 2023.Patients were divided into tow groups based on different surgical methods.The test group consisted of 21 patients treated with ulnar osteotomy,including 12 males and 9 females;ages ranged from 30 to 60 years,with a mean age of(45.70±3.25)years.The control group included 21 patients treated with ultrasonography-assisted surgery,with 11 males and 10 females;ages ranged from 30 to 60 years,with a mean age of(45.20±3.56)years.Intraoperative bleeding volume,incision length,operation time,postoperative osteotomy healing time,and changes in ulna height were compared.Additionally,the pain visual simulation score after 3 months visual analogue scale(VAS),Cooney wrist function score,and complication rates within 6 months of follow-up were assessed.Results One patient was lost to follow-up in the test group,and two patients in the control group.The follow-up period for both groups was 6 months.There was no significant difference in intraoperative bleeding volume and incision length between the two groups(P＞0.05),but the operation time and healing time were shorter in the test group than in the control group(P＜0.05).The ulna height decreased in both the test and control groups postoperatively,with a greater decrease in the test group compared to the control group(P＜0.05).There was no significant difference in VAS scores and Cooney wrist function scores between the two groups immediately postoperatively(P＞0.05),but there was a significant difference 3 months after surgery(P＜0.05).During the 6-month follow-up,neither group had incision infections;the control group had two delayed fractures and one non-union,resulting in a complication rate of 15.79％;the test group had no delayed fractures or non-unions;there was no significant difference between the two groups(P＞0.05).Conclusion Ulnar osteotomy for patients with ulnar impingement syndrome is effective,can significantly resolve abnormal wrist function issues,and offers clear advantages in terms of operation time and postoperative recovery,making it a treatment worth applying and promoting.
万方数据
维普
