{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:45:58Z","timestamp":1790372758016,"version":"4.1.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Purpose This study aims to compare the clinical and radiological outcomes\n                    of three different techniques used in the surgical treatment of ulnar styloid\n                    fractures.<\/jats:p><jats:p>\n               Material and Method Ulnar styloid fractures treated surgically between\n                    2012 and 2022 were evaluated retrospectively. There were three groups in the\n                    study: Group I (Kirschner wire, N= 19), Group II (tension band, N= 27) and Group\n                    III (headless compression screw, N= 25). The Gaulke classification was applied\n                    to categorise the fractures. After a follow-up period of at least one year,\n                    range of motion, Modified Mayo Wrist Score (MMWS), Quick Disabilities of the\n                    Arm, Shoulder and Hand Score (QDASH), Visual Analogue Scale (VAS) and grip\n                    strength were measured. In addition, radiological union, bone resorption and\n                    dorsal subluxation of the DRUJ were evaluated.<\/jats:p><jats:p>\n               Results There was no difference between the three groups in terms of\n                    demographic data. Gaulke type 2\u2009A was more frequently observed in all three\n                    groups (47.4%, 74.1%, 64%, respectively). Range of motion (flexion, extension,\n                    supination, pronation) was similar in all three groups (p&gt;0.05). QDASH and\n                    MMWS were similar in all three groups. Grip strength was significantly lower in\n                    Group I than in Group II (p=0.039). Radiological outcomes (nonunion, dorsal\n                    subluxation, bone resorption) were similar in all three groups. Implant\n                    irritation was significantly higher in Group II (p=0.026).<\/jats:p><jats:p>\n               Conclusion K-wires, tension band wiring and headless compression screws\n                    yield similar clinical and radiological outcomes in the surgical treatment of\n                    unstable ulnar styloid fractures. However, the need for secondary surgery is\n                    more frequent when a tension band is used. Level of Evidence: Level IV.<\/jats:p>","DOI":"10.1055\/a-2462-2210","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T23:47:47Z","timestamp":1736984867000},"page":"211-217","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Outcomes Between Three Different Techniques in the\n                    Fixation of Ulnar Styloid Fractures"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8073-3471","authenticated-orcid":false,"given":"Bari\u015f","family":"Acar","sequence":"additional","affiliation":[{"name":"Hand Surgery, Baltalimani Special Hospital for Bone Diseases, Istanbul,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9177-2457","authenticated-orcid":false,"given":"Osman","family":"Orman","sequence":"additional","affiliation":[{"name":"Hand Surgery, Baltalimani Special Hospital for Bone Diseases, Istanbul,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Baydar","sequence":"additional","affiliation":[{"name":"Hand Surgery, Maltepe Medical Park Hospital, Istanbul,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevin\u00e7 \u00d6d\u00fcl","family":"Oru\u00e7","sequence":"additional","affiliation":[{"name":"Hand Surgery, Baltalimani Special Hospital for Bone Diseases, Istanbul,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baki Av\u015far","family":"Uzun","sequence":"additional","affiliation":[{"name":"Hand Surgery, Baltalimani Special Hospital for Bone Diseases, Istanbul,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"411071","DOI":"10.1016\/j.jhsa.2016.08.012","article-title":"Osseous Anatomy of the Distal Radioulnar Joint: An Assessment Using\n                    3-Dimensional Modeling and Clinical Implications","author":"P Daneshvar","year":"2016","journal-title":"J Hand Surg Am"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1177\/1558944716685830","article-title":"Ulnar Styloid Base Fractures Cause Distal Radioulnar Joint Instability in a\n                    Cadaveric Model","volume":"13","author":"T S Pidgeon","year":"2018","journal-title":"Hand (N Y)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5334\/jbsr.2709","article-title":"Wrist Trauma: More Than Bones","volume":"105","author":"M Shahabpour","year":"2021","journal-title":"J Belg Soc Radiol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.hcl.2012.03.011","article-title":"Management of the distal radioulnar joint and ulnar styloid fracture","volume":"28","author":"D M Sammer","year":"2012","journal-title":"Hand Clin"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e0279210","DOI":"10.1371\/journal.pone.0279210","article-title":"Relationship of ulna styloid fracture to the distal radio-ulnar joint stability.\n                    A clinical, functional, and radiographic outcome study","volume":"18","author":"V Ajit Singh","year":"2023","journal-title":"PLoS One"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"189","DOI":"10.22038\/abjs.2020.46717.2287","article-title":"Fixing ulnar Styloid Fracture with Stable Distal Radioulnar Joint: A Randomized\n                    Clinical Trial","volume":"9","author":"A Moradi","year":"2021","journal-title":"Arch Bone Jt Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1055\/s-0040-1719041","article-title":"Relationship between Fracture of the Ulnar Styloid Process and DRUJ Instability:\n                    A Biomechanical Study","volume":"10","author":"T Nakamura","year":"2021","journal-title":"J Wrist Surg"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1016\/j.jos.2021.05.002","article-title":"Intraoperative evaluation of DRUJ instability through dorsal stress radiography\n                    in distal radius fractures","volume":"27","author":"S Baek","year":"2022","journal-title":"J Orthop Sci"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1055\/s-0033-1363662","volume-title":"Die Instabilit\u00e4t des distalen Radioulnargelenks \u2013 Zur Wertigkeit klinischer und\n                    r\u00f6ntgenologischer Testverfahren \u2013 eine Literatur\u00fcbersicht","author":"C K Spies","year":"2014"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1007\/s00256-013-1642-3","article-title":"Union of the ulnar styloid fracture as a function of fracture morphology on\n                    conventional radiographs","volume":"42","author":"H Meyer","year":"2013","journal-title":"Skeletal Radiol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1055\/s-0041-1740471.","article-title":"Evaluation of Intra-and Interobserver Reproducibility of the New AO\/OTA\n                    Classification for Distal Radius Fractures Compared with the Fernandez\n                    Classification","volume":"57","author":"B C Carula","year":"2022","journal-title":"Rev Bras Ortop (Sao Paulo)"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1177\/1753193416641590","article-title":"Why and how to report surgeons\u2019 levels of expertise","volume":"41","author":"J B Tang","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e22.00021","DOI":"10.2106\/JBJS.OA.22.00021","article-title":"The Effect of Ulnar Styloid Fractures on Patient-Reported Outcomes After\n                    Surgically Treated Distal Radial Fractures","volume":"7","author":"S\u00d8 Clementsen","year":"2022","journal-title":"JB JS Open Access"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1055\/s-0037-1607214","article-title":"Effects of Ulnar Styloid Fractures on Unstable Distal Radius Fracture Outcomes:\n                    A Systematic Review of Comparative Studies","volume":"7","author":"S Almedghio","year":"2018","journal-title":"J Wrist Surg"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"142","DOI":"10.5704\/MOJ.2303.017","article-title":"Concomitant Ulnar Styloid Fractures in Distal Radius Osteosynthesis Does Not\n                    Impact Radiographic Outcomes, Ulnar Sided Symptoms and Patient Outcomes","volume":"17","author":"K C Wong","year":"2023","journal-title":"Malays Orthop J"},{"key":"ref16","first-page":"48","article-title":"Fracture of the ulnar styloid process negatively influences the outcome of\n                    paediatric fractures of the distal radius","volume":"79","author":"S Zoetsch","year":"2013","journal-title":"Acta Orthop Belg"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1016\/s0266-7681(98)80134-4","article-title":"The importance of the distal radioulnar joint in distal radial fractures","volume":"23","author":"D Stoffelen","year":"1998","journal-title":"J Hand Surg Br"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1186\/s13018-018-0899-6","article-title":"Early and late fixation of ulnar styloid base fractures yields different\n                    outcomes","volume":"13","author":"A C Chen","year":"2018","journal-title":"J Orthop Surg Res"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"110768","DOI":"10.1016\/j.injury.2023.04.055","article-title":"Should ulnar styloid be fixed following fixation of a distal radius\n                    fracture?","volume":"54","author":"P S Velmurugesan","year":"2023","journal-title":"Injury"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1007\/s00402-021-04199-y","article-title":"Distal radius fracture with concomitant ulnar styloid fracture: does distal\n                    radioulnar joint stability depend on the location of the ulnar styloid\n                    fracture?","volume":"143","author":"K W Kim","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1055\/s-0034-1365825","article-title":"Radiographic Predictors of DRUJ Instability with Distal Radius Fractures","volume":"3","author":"S Omokawa","year":"2014","journal-title":"J Wrist Surg"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1053\/jhsu.2002.36525","article-title":"Ulnar styloid fractures associated with distal radius fractures: incidence and\n                    implications for distal radioulnar joint instability","volume":"27","author":"M M May","year":"2002","journal-title":"J Hand Surg Am"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.jhsa.2011.01.023","article-title":"Complications of K-wire fixation in procedures involving the hand and wrist","volume":"36","author":"L P Hsu","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"v3121","DOI":"10.1007\/s00402-024-05399-y","article-title":"Comparative analysis of tension band wiring and hook plate fixation in ulnar\n                    styloid fractures: a focus on fracture type","volume":"144","author":"K H Kang","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"130","DOI":"10.4055\/cios.2020.12.1.130","article-title":"Intramedullary Stabilization Technique Using Headless Compression Screws for\n                    Distal Ulnar Fractures","volume":"12","author":"J R Oh","year":"2020","journal-title":"Clin Orthop Surg"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2835","DOI":"10.1016\/j.injury.2021.06.026","article-title":"What\u2019s the best surgical repair technique of an ulnar styloid fracture? A\n                    biomechanical comparison of different techniques","volume":"52","author":"M Maniglio","year":"2021","journal-title":"Injury"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1186\/s13018-020-01795-3","article-title":"Surgical management of ulnar styloid fractures: comparison of fixation with\n                    anchor suture and tension band wire","volume":"15","author":"A C Chen","year":"2020","journal-title":"J Orthop Surg Res"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2462-2210.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T22:30:43Z","timestamp":1751495443000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2462-2210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,15]]},"references-count":27,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,7,2]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2462-2210","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,15]]}}}