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

Boretto, Jorge G.; Zaidenberg, Ezequiel Ernesto; Gallucci, Gerardo; Sarme, Alejandro

doi:10.1177/1558944718760000

Cited by 11 publications

(17 citation statements)

References 25 publications

(45 reference statements)

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“…It is clear that it is not American authors who have resistance or difficulty in declaration of LOE. While the current review is focused on the J Hand Surg Am and J Hand Surg Eur publications, several articles have been published reporting the LOE in other journals (Andersson et al., 2018; Boretto et al., 2019; Boyer et al., 2019; Ehrl et al., 2016; El Amiri et al., 2019; Frueh et al., 2014; Fujihara et al., 2018; Goorens et al., 2018; Hohendorff et al., 2017; 2018; Huttin et al., 2018; Kamphuis et al., 2019; Karakaplan et al., 2019; Ma et al., 2017; Mulders et al., 2017; Rijnja et al., 2017; Robinson et al., 2017; Tang et al., 2017; Thorkildsen and Rokkum, 2019; Uluyardimci et al., 2019; van Zyl et al., 2019; Wang et al., 2017; Yeo et al., 2015). These journals included Hand Surgery and Rehabilitation, Archives of Orthopaedic and Trauma Surgery and Journal of Plastic Surgery and Hand Surgery .…”

Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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The purpose of the study was to evaluate the trend in documentation of surgeon level of expertise among the Journal of Hand Surgery (American Volume) and the Journal of Hand Surgery (European Volume) publications. A review of Journal of Hand Surgery (American Volume) and Journal of Hand Surgery (European Volume) databases for level of expertise between January 2015 and October 2019 was performed. Of 1042 articles identified, all 115 (20%) reporting level of expertise were published in Journal of Hand Surgery (European Volume). Since 2015, there has been an increase in reported level of expertise in Journal of Hand Surgery (European Volume) (2015: 8 (7%); 2016: 15 (13%); 2017: 22 (19%); 2018: 28 (24%); 2019: 42 (37%)). In the same period, no publications have reported level of expertise in Journal of Hand Surgery (American Volume). Documenting level of expertise may provide readers with additional information for incorporation of novel techniques into their practices. It may identify procedures that require a baseline level of expertise for effective performance. Further evaluation of level of expertise criteria may improve the reliability of the numeric scale, while widespread adoption of this scale will allow future outcome analysis by level of expertise.

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Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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show abstract

“…In selected cases a salvage procedure might be appropriate as primary management. A retrospective study compared the Darrach procedure with internal fixation in 24 women over the age of 70 years (Boretto, Zaidenberg et al 2019). They noted more complications in the internal fixation group including ulnar nerve palsy, non-union, plate loosening, infection, complex regional pain syndrome, pain, and restricted motion.…”

Section: Figure 10 Different Methods Of Internal Fixationmentioning

confidence: 99%

Ulnar fractures and ligament injuries of the wrist

Moloney

2022

Linköping University Medical Dissertations

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“…In the past 25 years, one of the most exciting areas in hand surgery has been the study of anatomy, biomechanics, and pathophysiology at the distal end of the ulna [ 4 ]. Ulnar head fracture may be seen in up to 6% of patients with unstable fractures of the distal radius [ 5 ], and this rate is ever increasing due to the growing proportion of elderly people [ 6 ]. Metaphyseal distal radial fractures associated with distal ulnar shaft fractures represent an unstable injury pattern, which may cause nonunion of the distal radius [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Finite element analysis of different locking plate fixation methods for the treatment of ulnar head fracture

et al. 2021

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Background Ulnar head fractures are increasingly higher with the growing proportion of the elderly people. Failure to achieve a stable anatomic reduction of ulna head fracture may lead to a distal radioulnar joint (DRUJ) dysfunction and nonunion of the distal radius. Due to the lack of the postoperative reporting outcomes and the biomechanical studies, it has not been well established about the optimal management of the comminuted distal ulna head fracture. Hence, the purpose of this study is to use finite element analysis to explain the advantages and disadvantages of ulnar-side locking plate fixation compared with dorsal-side locking plate fixation and its screw arrangement in the treatment of ulnar head fractures. Methods FE models of the ulnar head fracture and the models of ulnar-side locking plate and dorsal-side plate with two or three distal screws was constructed. In order to simulate forces acting on the ulnar and the osteosynthesis material during daily-life activity in subjects who underwent reconstructive surgery, we applied three loading conditions to each model, viz. 20 N axial compression, 50 N axial compression, 1 N∙m torsion moment, 1 N∙m lateral bending moments, and 1 N∙m extension bending moments. Under these conditions, values of the von Mises stress (VMS) distribution of the implant, peak VMS, the relative displacement of the head and shaft fragments between the fracture ends and the displacement and its direction of the models were investigated. Results The stress values of ulnar-side plates were lower than those of dorsal-side plates. And the ulnar-plate fixation system also has smaller maximum displacement and relative displacement. When adding a screw in the middle hole of the ulnar head, the values of model displacement and the peak stress in fixation system are lower, but it may evidently concentrate the stress on the middle screw. Conclusions In conclusion, our study indicated that ulnar-side locking plates resulted in a lower stress distribution in the plate and better stability than dorsal-side locking plates for ulnar head fracture fixation. Adding an additional screw to the ulnar head could increase the stability of the fixation system and provide an anti-torsion function. This study requires clinical confirmation of its practicality in the treatment of ulnar head fractures. This study requires clinical confirmation as to its practicality in the treatment of ulnar head fracture.

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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

Cited by 11 publications

References 25 publications

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Ulnar fractures and ligament injuries of the wrist

Finite element analysis of different locking plate fixation methods for the treatment of ulnar head fracture

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