Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire.

Journal of Orthopaedic Surgery and Research
Alvin Chao-Yu ChenChun-Ying Cheng

Abstract

Limited reference is available regarding surgical management in symptomatic ulnar styloid fractures with small bony avulsion. The study goal is to report the surgical outcomes using anchor suture fixation with comparison to traditional tension band wire fixation. We retrospectively reviewed the medical records in patients who underwent surgical repair for unilateral ulnar styloid fractures with distal radioulnar instability between 2004 and 2017. A total of 31 patients were enrolled including two kinds of fixation methods. Anchor suture fixation plus distal radioulnar joint pinning was performed in ten patients with tiny avulsion bony fragments (group A); tension band wire fixation was performed in 21 patients with big styloid fracture fragments (group B). Patient characteristics and 2-year treatment outcomes were compared between two groups based on Mayo Modified Wrist Score (MMWS); Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH); visual analog scale (VAS), and surgical complication. Descriptive statistics were used for calculation of key variables; a p value of < 0.05 was considered statistically significant. Based on Gaulke classification, there were five subtypes in group A and three subtypes in group B. Incid...Continue Reading

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Methods Mentioned

BETA
dissection

Software Mentioned

MMWS
QuickDASH

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