PMID- 38525507
OWN - NLM
STAT- MEDLINE
DCOM- 20240326
LR  - 20240502
IS  - 2589-1294 (Electronic)
IS  - 1017-995X (Print)
IS  - 1017-995X (Linking)
VI  - 58
IP  - 1
DP  - 2024 Jan
TI  - Minimial clinically important difference values in distal metaphyseal ulnar 
      shortening for ulnar impaction syndrome and assessment of the relationship 
      between level of the osteotomy and bone union time.
PG  - 27-33
LID - 10.5152/j.aott.2024.23111 [doi]
AB  - OBJECTIVE: We aimed to define minimal clinically important difference (MCID) 
      values of patient-reported outcome measures (PROMs) for distal metaphyseal ulnar 
      shortening and to assess the relationship between level of the osteotomy and time 
      to bone union. METHODS: 20 patients who had distal metaphyseal ulnar shortening 
      osteotomies due to ulnar impaction syndrome and had at least 6 months of 
      follow-ups were included in this study. The mean follow-up period was 12.3 +/- 7.01 
      months. The PROMs which consisted of patient-rated wrist evaluation (PRWE) and 
      quick disabilities of arm, shoulder, and hand (QDASH) were recorded on the day 
      before the surgery and at follow-up assessments. Grip strength and range of 
      motion were recorded for operated and contralateral wrists at postoperative 
      assessments. Postoperative radiological evaluations of distance of the osteotomy 
      from the distal ulnar articular surface (osteotomy level), the union of osteotomy 
      site; preoperative and postoperative evaluations of styloid-triquetral distance, 
      and ulnar variance were performed using AP wrist x-rays. The MCID values for PRWE 
      and QDASH were calculated using ROC curve analysis. RESULTS: Mean PRWE and QDASH 
      scores decreased statistically significantly. The mean grip strength of 
      contralateral wrists was higher. Mean ulnar variance decreased, whereas 
      styloid-triquetral distance increased postoperatively. Patients with osteotomy 
      levels of greater than 13.7 mm had a longer time from surgery to bone union. 
      Furthermore, patients with time from surgery to bone union shorter than 7 weeks 
      had an osteotomy closer to the ulnar articular surface. The MCID values for PRWE 
      and QDASH were analyzed and calculated through the ROC curve as 22.25 and 20.45, 
      respectively. CONCLUSION: This study has shown us that the osteotomy level 
      affects the time to bone union and an osteotomy closer than 13.7 mm to the ulnar 
      articular surface seems to result in shorter union time. Furthermore, MCID values 
      were defined for PRWE and QDASH as 22.25 and 20.45, respectively. LEVEL OF 
      EVIDENCE: Level IV, Therapeutic Study.
FAU - Ozcan, Mustafa
AU  - Ozcan M
AD  - Department of Orthopaedics and Traumatology, Ceylanpinar State Hospital, 
      Sanliurfa, Turkey.
FAU - Acar, Emre
AU  - Acar E
AD  - Department of Orthopaedics and Traumatology, Dokuz Eylul University Hospital, 
      Izmir, Turkey.
FAU - Basci, Onur
AU  - Basci O
AD  - Department of Orthopaedics and Traumatology, Dokuz Eylul University Hospital, 
      Izmir, Turkey.
FAU - Ozkan, Mustafa Hulusi
AU  - Ozkan MH
AD  - Department of Orthopaedics and Traumatology, Dokuz Eylul University Hospital, 
      Izmir, Turkey.
LA  - eng
PT  - Journal Article
PL  - Turkey
TA  - Acta Orthop Traumatol Turc
JT  - Acta orthopaedica et traumatologica turcica
JID - 9424806
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Joint Diseases/surgery
MH  - Osteotomy
MH  - Wrist Joint/diagnostic imaging/surgery
MH  - Ulna/diagnostic imaging/surgery
MH  - Range of Motion, Articular
MH  - Retrospective Studies
PMC - PMC11059569
COIS- Declaration of Interests: The authors have no conflict of interest to declare.
EDAT- 2024/03/25 06:42
MHDA- 2024/03/26 06:44
PMCR- 2024/01/01
CRDT- 2024/03/25 04:44
PHST- 2024/03/26 06:44 [medline]
PHST- 2024/03/25 06:42 [pubmed]
PHST- 2024/03/25 04:44 [entrez]
PHST- 2024/01/01 00:00 [pmc-release]
AID - aott-58-1-27 [pii]
AID - 10.5152/j.aott.2024.23111 [doi]
PST - ppublish
SO  - Acta Orthop Traumatol Turc. 2024 Jan;58(1):27-33. doi: 10.5152/j.aott.2024.23111.