Clinical observation of different surgical methods for metaphyseal sequelae of ulna.
10.12200/j.issn.1003-0034.2021.07.009
- Author:
Bing-le LYU
1
;
Ya-Min TIAN
1
;
Li-Ye GE
1
;
Jing-Hua XU
1
;
Dong-Sheng LI
1
;
Jun-Yan TENG
1
Author Information
1. Department of Bone Disease & Orthopedics, Henan Luoyang Orthopaedic Hospital, Orthopaedic Hospital of Henan Province, Zhengzhou 450046, Henan, China.
- Publication Type:Journal Article
- Keywords:
Deformity;
Forearm;
Metaphyseal;
Osteochondroma;
Surgical operative, procedures;
Ulnar
- MeSH:
Activities of Daily Living;
Elbow Joint;
Female;
Humans;
Male;
Radius/surgery*;
Range of Motion, Articular;
Treatment Outcome;
Ulna/surgery*;
Wrist Joint/surgery*
- From:
China Journal of Orthopaedics and Traumatology
2021;34(7):636-640
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect and safety of ulnar osteochondroma resection, ulnar minimally invasive osteotomy, external fixation and ulnar lengthening in the treatment of forearm deformity of metaphyseal extension of ulna.
METHODS:From August 2005 to December 2013, there were 20 cases of ulnar metaphyseal sequelae, including 15 males and 5 females, aged from 7 to 13(10.00±2.34) years, the course of disease ranged for 6 to 11(8.10±1.52) months. The clinical manifestations were shortening of the affected forearm and bending to the ulnar side. The postoperative evaluation included pain, activities of daily living, orthopedic effect and the range of motion of wrist, elbow and forearm. The radiological evaluation included ulnar length, radial joint inclination angle and wrist epiphysis growth.
RESULTS:All patients healed without infection. The only operation related to complications was ulnar lengthening, including 1 case of nonunion, 2 cases of ulnar lengthening callus fracture and 1 case of temporary radial nerve palsy. All patients were followed up for 4 to 7.5 years, with an average of (6.03±1.33) years. There were statistically significant differences in changes of wrist radial deviation, ulnar deviation, forearm pronation and supination in all cases (
CONCLUSION:Ulnar lengthening is not beneficial to prevent the development of long-term deformity. Simple resection of osteochondroma of distal ulna is beneficial to prevent the development of deformity. Patients with limited rotation of wrist joint and forearm and strong demand for improvement of appearance can be actively treated.
