{
    "abstract": "The purpose of this retrospective study was to introduce an alternative technique for the treatment of type II symptomatic ulnar styloid nonunion by the reinsertion of the triangular fibrocartilage complex and the ulnar collateral ligament.\nBetween March 2009 and May 2017, 45 patients (34 males and 11 females) suffering from the nonunion of type II ulnar styloid fractures all underwent the subperiosteal resection of the avulsed fragments and the reinsertion of the TFCC and ulnar collateral ligament. Outcome assessments included the ranges of motion of the wrist, grip strength, pain, and Mayo wrist score. The preoperative and postoperative parameters were compared. A P-value less than 0.05 was considered to be statistically significant.\nThe mean follow-up period was 21.66\u2009\u00b1\u20097.93 months (range, 12 to 26 months). At the final follow-up, the mean preoperative flexion and extension were 79.32\u2009\u00b1\u20094.52\u00b0 and 74.40\u2009\u00b1\u20094.36\u00b0 respectively. The mean preoperative pain score, grip strength, and Mayo wrist score were 32.48\u2009\u00b1\u20094.00; 23.88\u2009\u00b1\u20098.38\u00a0kg, and 77.72\u2009\u00b1\u20098.31 respectively. The mean postoperative flexion and extension of the wrist were 80.56\u2009\u00b1\u20096.32\u00b0 and 75.43\u2009\u00b1\u20093.12\u00b0 respectively. The mean postoperative pain score, grip strength, and Mayo wrist score were 12.41\u2009\u00b1\u20093.27, 26.31\u2009\u00b1\u20098.30\u00a0kg, and 90.71\u2009\u00b1\u20097.97 respectively. There were significant differences in pain, grip strength, and Mayo wrist score (P\u2009<\u20090.05), but no significant differences concerning the range of motion of the wrist.\nIn the treatment of the nonunion of type II ulnar styloid fractures, the resection of the avulsed fragments followed by the reinsertion of the TFCC and the ulnar collateral ligament with an anchor was a reliable alternative technique, bringing the satisfactory function of the wrist.",
    "authors": [
        {
            "affiliation": "Department of Hand Surgery, Third Hospital of Heibei Medical University, Shijiazhuang, 050051, Hebei, China.",
            "firstname": "Xiaofei",
            "initials": "X",
            "lastname": "Yu"
        },
        {
            "affiliation": "Department of Hand Surgery, Third Hospital of Heibei Medical University, Shijiazhuang, 050051, Hebei, China. 13313010289@163.com.",
            "firstname": "Yadong",
            "initials": "Y",
            "lastname": "Yu"
        },
        {
            "affiliation": "Department of Hand Surgery, Third Hospital of Heibei Medical University, Shijiazhuang, 050051, Hebei, China. ahand@sina.com.",
            "firstname": "Xu",
            "initials": "X",
            "lastname": "Zhang"
        },
        {
            "affiliation": "Department of Hand Surgery, Third Hospital of Heibei Medical University, Shijiazhuang, 050051, Hebei, China.",
            "firstname": "Jia",
            "initials": "J",
            "lastname": "Li"
        },
        {
            "affiliation": "The Second Hospital of Tangshan, Hebei, China.",
            "firstname": "Tong",
            "initials": "T",
            "lastname": "Zhou"
        },
        {
            "affiliation": "The Second Affiliated Hospital of Wannan Medical College, Hebei, China.",
            "firstname": "Huan",
            "initials": "H",
            "lastname": "Chen"
        }
    ],
    "conclusions": "In the treatment of the nonunion of type II ulnar styloid fractures, the resection of the avulsed fragments followed by the reinsertion of the TFCC and the ulnar collateral ligament with an anchor was a reliable alternative technique, bringing the satisfactory function of the wrist.",
    "copyrights": "\u00a9 2023. BioMed Central Ltd., part of Springer Nature.",
    "doi": "10.1186/s12891-023-06718-x\n10.1016/S0266-7681(97)80364-6\n10.1016/j.jhsa.2009.05.017\n10.3109/ort.1967.38.suppl-108.01\n10.1302/0301-620X.91B1.21026\n10.1080/02841850601045112\n10.1016/S0363-5023(96)80355-8\n10.1007/s12593-011-0033-z\n10.2106/JBJS.H.01738\n10.1016/S0363-5023(96)80355-8\n10.1016/0363-5023(94)90280-1\n10.1016/S0363-5023(03)00304-6\n10.1097/00005131-199811000-00009\n10.1016/j.jhsa.2010.05.010\n10.1007/s00256-009-0842-3\n10.1186/s13018-018-0899-6",
    "journal": "BMC musculoskeletal disorders",
    "keywords": [
        "Distal radioulnar joint",
        "Nonunion",
        "Ulnar styloid fracture",
        "Ulnar wrist pain"
    ],
    "methods": null,
    "publication_date": "2023-08-10",
    "pubmed_id": "37559060\n9752922\n19896004\n4175195\n19092013\n17325933\n8724472\n22654411\n20048089\n8724472\n25290272\n7963331\n14507519\n9840793\n20684924\n23758986\n20012039\n27511887\n26992415\n30064441\n3342570\n22654411\n23547515",
    "results": null,
    "title": "Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex.",
    "xml": "<Element 'PubmedArticle' at 0x788503d990d0>"
}