Comparative Study of Internal Fixation of the Ulna and Distal Ulna Resection in Patients Older Than 70 Years With Distal Radius and Distal Metaphyseal Ulna Fractures

Hand : Official Journal of the American Association for Hand Surgery
Jorge Guillermo BorettoPablo De Carli

Abstract

Background: Acute management of fractures of the distal ulna that are associated with fractures of the distal radius remains difficult, particularly in the elderly. Methods: In this study, we investigated whether internal fixation of the distal ulna is associated with a higher rate of complications than resection of the distal ulna in patients older than 70 years. Twenty-four consecutive patients were included in this study, 12 of whom had undergone open reduction and internal fixation (ORIF) of the distal ulna, and 12 who had undergone distal ulna resection. Patients were retrospectively assessed for range of motion, grip strength, pain, and radiographic appearance. The functional outcome was evaluated by the Mayo Wrist Score. Complications were classified according to the Classification of Surgical Complications. Results: There were no differences in patient demographics between the 2 groups, except patient age. Clinical evaluation showed no difference at follow-up; however, there were significantly more complications associated with ORIF compared with resection. Conclusions: The results from our study show that women older than 70 years with fracture of the distal radius and distal ulna have a higher rate of complications if...Continue Reading

References

Jun 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A BiyaniL Klenerman
May 11, 1996·BMJ : British Medical Journal·N Black
Jun 1, 1996·Clinical Orthopaedics and Related Research·W B GeisslerD M Lamey
Jan 1, 1996·The Journal of Hand Surgery·H J KrederM F Swiontkowski
Apr 18, 1998·The Journal of Bone and Joint Surgery. British Volume·B R SingerJ Christie
Apr 3, 2001·The Journal of Hand Surgery·D L FernandezJ B Jupiter
Sep 19, 2001·The Journal of Hand Surgery·K C Chung, S V Spilson
Mar 20, 2002·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez
Jan 8, 2005·BMJ : British Medical Journal·P J DevereauxGordon H Guyatt
Dec 20, 2007·Techniques in Hand & Upper Extremity Surgery·William H Seitz, Steven M Raikin
Feb 26, 2009·Hand : Official Journal of the American Association for Hand Surgery·David E RuchelsmanMichael E Rettig
Mar 10, 2009·The Journal of Hand Surgery, European Volume·Jin Bo Tang
Oct 5, 2010·The Journal of Hand Surgery·Bertrand CouletJorge G Boretto
Feb 18, 2011·The Journal of Bone and Joint Surgery. American Volume·Jannike OyenLeiv M Hove
Jan 10, 2014·The Journal of Hand Surgery, European Volume·J G BorettoP De Carli
Jan 18, 2014·Journal of Wrist Surgery·Margaret W M FokAlex Lluch Bergada

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Citations

Jun 20, 2020·The Journal of Hand Surgery, European Volume·Dustin H MasselDavid L Chen
Mar 17, 2021·Journal of Orthopaedic Surgery and Research·Yue ZhangGuixin Sun

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