gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Technique for Intramedullary Stabilization of Ulnar Neck Fractures with Headless Compression Screw

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Jinrok Oh - Dept. Orthopedic Surgery, Wonju Severance Hospital, Wonju-si, Gangwon-do, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1694

doi: 10.3205/19ifssh1356, urn:nbn:de:0183-19ifssh13563

Veröffentlicht: 6. Februar 2020

© 2020 Oh.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives/Interrogation: Distal ulnar neck fracture is commonly accompanied with distal radius fractures, and there are multiple treatment options like splinting, percutaneous pinning, intramedullary pinning, and plating. Each method of above mentioned treatment options is useful according to the fracture condition of ulnar neck and patients. We present a new percutaneous intramedullary fixation method for the ulnar neck fracture in concomitant with distal radius fracture.

Methods: We underwent percutaneous intramedullary fixation with Depuy-Synthes 4.5 mm headless compression screw for distal ulnar neck fractures of ten cases. A focal stab skin incision is made on dorsal side near ulnar head with wrist flexion. A guide pin is inserted from ulnar head crossing ulnar neck fracture to distal ulnar shaft. And the intramedullary canal is drilled with 4.0 mm cannulated drill bit. Then we decide optimal 4.5 mm headless screw. The selected headless screw is inserted to ulnar intramedullary space following guide pin. We maintained splint short arm splint 2 weeks and then permitted active wrist motion with discarding the splint.

Results and Conclusions: We followed the 10 cases patients after fixation with above mentioned method for more than 4 months. All ten cases showed more than good results in radiologic and functional evaluation without special ulnar side problems.

This technique uses minimal invasive approach, it is very simple and reliable to produce constant results for ulnar neck fracture in concomitant with distal radius fracture.