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Bone & Joint Open
Vol. 3, Issue 5 | Pages 375 - 382
5 May 2022
Long-term outcomes after ulna shortening osteotomy: a mean follow-up of six years
Teunissen JS van der Oest MJW Selles RW Ulrich DJO Hovius SER van der Heijden B
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Aims

The primary aim of this study was to describe long-term patient-reported outcomes after ulna shortening osteotomy for ulna impaction syndrome.

Methods

Overall, 89 patients treated between July 2011 and November 2017 who had previously taken part in a routine outcome evaluation up to 12 months postoperatively were sent an additional questionnaire in February 2021. The primary outcome was the Patient-Rated Wrist and Hand Evaluation (PRWHE) total score. Secondary outcomes included patient satisfaction with treatment results, complications, and subsequent treatment for ulnar-sided wrist pain. Linear mixed models were used to compare preoperative, 12 months, and late follow-up (ranging from four to nine years) PRWHE scores.

The Bone & Joint Journal
Vol. 96-B, Issue 8 | Pages 1070 - 1076
1 Aug 2014
CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures
Hannemann PFW van Wezenbeek MR Kolkman KA Twiss ELL Berghmans CHJ Dirven PAMGM Brink PRG Poeze M
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We hypothesised that the use of pulsed electromagnetic field (PEMF) bone growth stimulation in acute scaphoid fractures would significantly shorten the time to union and reduce the number of nonunions in a randomised, double-blind, placebo-controlled multicentre trial. A total of 102 patients (78 male, 24 female; mean age 35 years (18 to 77)) from five different medical centres with a unilateral undisplaced acute scaphoid fracture were randomly allocated to PEMF (n = 51) or placebo (n = 51) and assessed with regard to functional and radiological outcomes (multiplanar reconstructed CT scans) at 6, 9, 12, 24 and 52 weeks. The overall time to clinical and radiological healing did not differ significantly between the active PEMF group and the placebo group. We concluded that the addition of PEMF bone growth stimulation to the conservative treatment of acute scaphoid fractures does not accelerate bone healing. Cite this article: Bone Joint J 2014; 96-B:1070–6

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