Evidence map›Paper›PMID 26330791›Full record

ArticleHand (New York, N.Y.)2015

Outcomes and complications of ulnar shortening osteotomy: an institutional review.

Raghav Rajgopal, James Roth, Graham King, Ken Faber, Ruby Grewal

Open access · greenAbstract read
In one paragraph

Article in Hand (New York, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. [Research status and clinical progress of ulnar shortening osteotomy for ulnar impaction syndrome].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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  9. Ulnar Shortening Osteotomy: Our Experience.Revista brasileira de ortopedia · 2020
    Article
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Raghav RajgopalDivision of Orthopaedic Surgery, Western University, 339 Windermere Road, London, ON N6G 2V4 Canada.
James RothDivision of Orthopaedic Surgery, Western University, 339 Windermere Road, London, ON N6G 2V4 Canada ; The Roth | MacFarlane Hand and Upper Limb Centre, St. Joseph's Health Centre, Suite D0-217, 268 Grosvenor Street, London, ON N6A 4L6 Canada.
Graham KingDivision of Orthopaedic Surgery, Western University, 339 Windermere Road, London, ON N6G 2V4 Canada ; The Roth | MacFarlane Hand and Upper Limb Centre, St. Joseph's Health Centre, Suite D0-217, 268 Grosvenor Street, London, ON N6A 4L6 Canada.
Ken FaberDivision of Orthopaedic Surgery, Western University, 339 Windermere Road, London, ON N6G 2V4 Canada ; The Roth | MacFarlane Hand and Upper Limb Centre, St. Joseph's Health Centre, Suite D0-217, 268 Grosvenor Street, London, ON N6A 4L6 Canada.
Ruby GrewalDivision of Orthopaedic Surgery, Western University, 339 Windermere Road, London, ON N6G 2V4 Canada ; The Roth | MacFarlane Hand and Upper Limb Centre, St. Joseph's Health Centre, Suite D0-217, 268 Grosvenor Street, London, ON N6A 4L6 Canada.
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlnar impaction syndrome (UIS) is a common cause of ulnar wrist pain. Patients may be candidates for surgical intervention if nonoperative options are ineffective. At our institution, ulnar shortening osteotomy is the preferred procedure to manage this disorder. The purpose of this study was to present patient reported outcomes and complication rates of ulnar shortening osteotomy (USO) at mid-term follow-up.

methodsA retrospective chart review of 72 patients (75 wrists) obtained from our institutional database was performed. At a mean 32 months postoperatively, telephone interviews (n = 53) were performed for all patients who were available for follow-up. The patient-rated wrist evaluation (PRWE), a validated outcome tool, was completed and complications were reviewed.

resultsPatient-rated outcomes were favorable; however, complications were frequent and included: delayed union (10/75, 13.3 %), nonunion (6/75, 8 %), and complex regional pain syndrome (5/75, 6.7 %). Ten patients (13.3 %) required revision surgery. Thirty-four patients (45.3 %) required hardware removal with 4/30 (11.4 %) of these patients experiencing refracture. Smokers (mean PRWE 67.1) and patients with workers' compensation claims (mean PRWE 64.9) reported higher residual pain and disability than their counterparts (mean PRWE 28.0; 25.2).

conclusionsGeneral outcome measures were favorable. Smokers and patients with workers' compensation claims experienced significantly poorer outcomes. However, the incidence of nonunion and delayed union was higher than most reports in the literature. Furthermore, we demonstrated a high refracture rate (11.4 %) following removal of hardware.

Indexed as

NonunionPRWESmokingUlnar shortening osteotomyWorkers compensation

Identifiers

PMID26330791
PMCPMC4551633
OpenAlexW1977347233

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.