Arthroscopic Wafer + TFCC Debridement vs Ulnar Shortening Osteotomy for Ulnar Impaction Syndrome .
Combined Arthroscopic Wafer Procedure and Triangular Fibrocartilage Complex Debridement versus Ulnar Shortening Diaphyseal Osteotomy in Management of Ulnar Impaction Syndrome: A Randomized Clinical Trial.
J Wrist Surg . 2023 Nov 7;13(6):500-507.Forty-three patients with ulnar impaction syndrome and less than 4 mm positive ulnar variance were randomized to undergo either arthroscopic wafer procedure combined with TFCC debridement (n=21) or diaphyseal ulnar shortening osteotomy (n=22). The primary outcome was the Modified Mayo Wrist (MMW) score. Secondary outcomes included DASH score, operative time, complications, and patient satisfaction. Outcomes were assessed over a minimum of 12 months. Overall, the study found that the AWP group had significantly better MMW and DASH scores, shorter operative times, and fewer complications than the USO group. These findings suggest that AWP with TFCC debridement is a safer and more effective surgical option for managing UIS with minor ulnar positive variance.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
