PROSPECTIVE STUDY OF THE MANAGEMENT OF DISTAL ULNA FRACTURES USING HOOK PLATE IN ADULT

Shaker Sleem, Ahmed Saleh; Hafez Khalifa, Abdelrahman; Tawfeek Saleh, Mohamed Fathy; Ahmed Marzouk, Ashraf Rashad

doi:10.21608/ejor.2023.346401

PROSPECTIVE STUDY OF THE MANAGEMENT OF DISTAL ULNA FRACTURES USING HOOK PLATE IN ADULT

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

¹ Orthopedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

² Orthopedics and Traumatology, Sohag University Hospital, Sohag, Egypt

10.21608/ejor.2023.346401

Abstract

Background: Once the distal radius fracture has been corrected and stabilised, the majority of distal ulna fractures are properly aligned and stable. Dennison et al. first developed the locked plate fixation method for managing distal ulna fractures, and it was successful. The distal ulna hook plate is a contoured anatomical plate that fits the distal ulna. Patients and methods: This prospective work was performed on 20 individuals presented to Orthopedic and Traumatology Department, Sohag University hospital, with distal ulna fractures, to evaluate the results of the distal ulnar plate in the management of adult distal ulna fractures. Results: Patients in this research ranged in age from 28 to 53, with a mean age of 39.9± 9.4 years. The individuals in the current research had a mean range of motion of 20.5± 5.9, which ranged from 10 to 25. The mean adjusted Mayo wrist score, which ranged from 50 to 100, was 88± 16. 60% of individuals had outstanding Mayo scores, 30% received good Mayo scores, and 10% received poor Mayo scores. Conclusion: The anatomical distal ulna hook plate is designed to accommodate the distal ulna. The positive results of this research indicate that basal oblique ulnar styloid fractures and intra-articular ulna head or neck fractures may both benefit from intervention with the distal ulna hook plate. All DUFs had excellent functional outcomes, involving broad wrist ROM and high satisfaction among patients. It is important to let patients know that residual pain is frequent. counselling for patients is crucial.

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