National Health Insurance Service Ilsan Hospital Researcher Adds New Study Findings to Research in Osteotomy (Is ulnar shortening osteotomy or the wafer procedure better for ulnar impaction syndrome?: A systematic review and meta-analysis): Surgery – Osteotomy

2023 OCT 13 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Medical Devices Daily -- A new study on osteotomy is now available. According to news reporting out of Goyang, South Korea, by NewsRx editors, research stated, “Wrist pain on the ulnar side is often caused by ulnar impaction syndrome (UIS). Idiopathic UIS requires surgical treatment when conservative treatment fails.”

The news journalists obtained a quote from the research from National Health Insurance Service Ilsan Hospital: “The 2 main surgical procedures used are the wafer procedure and ulnar shortening osteotomy (USO) of the metaphysis or diaphysis. This review aimed to analyze comparative studies of the 2 procedures in UIS to determine clinical outcomes and complications. One prospective and 5 retrospective comparison trials were retrieved from the PubMed, Embase, and Cochrane Library databases. The primary outcomes were treatment effectiveness; pain visual analog scale (VAS), disabilities of the arm, shoulder, and hand (DASH) score, Mayo wrist, and Darrow scores. The incidence of postoperative complications formed the secondary outcome. The selected studies included 107 patients who underwent the wafer procedure (G1) and 117 patients who underwent USO (G2). The wafer procedure had the benefits of less postoperative immobilization and an early return to work. However, there were no significant differences in the postoperative pain improvement and functional scores. All 6 studies reported high total complication rates and reoperation with USO. The most frequent complication was implant-related discomfort or irritation; subsequent plate removal was the most common reason for a secondary operation.”

According to the news reporters, the research concluded: “There was no difference in pain improvement or the postoperative functional score between the groups. Nevertheless, postoperative complications were the major pitfalls of USO. As the specialized shortening system advances further, a high-level study will be necessary to determine the surgical option in UIS.”

For more information on this research see: Is ulnar shortening osteotomy or the wafer procedure better for ulnar impaction syndrome?: A systematic review and meta-analysis. Medicine, 2023,102(39). (Medicine - http://journals.lww.com/md-journal). The publisher for Medicine is Ovid Technologies (Wolters Kluwer Health).

A free version of this journal article is available at https://doi.org/10.1097/md.0000000000035141.

Our news editors report that additional information may be obtained by contacting Joong Won Ha, Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, South Korea. Additional authors for this research include Young Woo Kwon, Sujung Lee, Hyunsun Lim, Jinho Lee, Chae Kwang Lim, Jun-Ku Lee.

ORCID is an identifier for authors and includes bibliographic information. The following is ORCID information for the author of this research: Jun-Ku Lee (http://orcid.org/0000-0003-4640-9357).

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