{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:50:02Z","timestamp":1740167402232,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003This study aimed to present the results of an alternative technique for treating ulnar impaction syndrome, the \u201creverse wafer procedure,\u201d and assess the mid-term clinical outcomes of patients treated with this technique.<\/jats:p><jats:p>\n          Methods\u2003A retrospective evaluation was conducted on 14 patients who underwent the reverse wafer procedure for ulnar impaction syndrome between 2013 and 2020. The inclusion criteria for the study were persistent ulnar-sided wrist pain, even after a minimum of 3 months of nonoperative treatment, the presence of a chondral lesion on the lunate, and an intact triangular fibrocartilage complex (TFCC) based on arthroscopic evaluation. Postoperative clinical and subjective functional outcomes were assessed using measures such as wrist range of motion (ROM), grip strength, the Turkish version of the quick disabilities of the arm, shoulder, and hand questionnaire (Quick DASH), and pain levels measured on a visual analog scale (VAS) and were compared with preoperative values. Patient satisfaction was also evaluated postoperatively.<\/jats:p><jats:p>\n          Results\u2003The mean follow-up period was 42.2 months (range: 24\u201368 months). Postoperatively, none of the patients experienced any restriction in ROM. Grip measurements significantly increased after the surgery (p\u2009=\u20090.003). Preoperatively, the patients had a grip strength of 41.14\u2009kg (range 28\u201348\u2009kg), which improved to 44\u2009kg (range 30\u201352\u2009kg) postoperatively. Postoperative VAS values and QDASH scores significantly decreased compared with the preoperative values (p\u2009&lt;\u20090.001, p\u2009=\u20090.001). The mean VAS score decreased from 6.1 (range 4\u20138) preoperatively to 0.9 (range 0\u20135) postoperatively. The mean Quick DASH score decreased from 49.44 (range 25\u201368.3) preoperatively to 10.13 (range 3.3\u201336) postoperatively. When asked about their satisfaction with the operation, 13 out of 14 patients reported being highly satisfied with the results.<\/jats:p><jats:p>\n          Conclusions\u2003The reverse wafer procedure presents an alternative treatment option for ulnar impaction syndrome in cases where the TFCC is intact. The mid-term results of this described technique are promising. However, further comparative studies with longer follow-ups are necessary to support these findings.<\/jats:p><jats:p>\n          Level of Evidence\u2003IV Therapeutic.<\/jats:p>","DOI":"10.1055\/s-0043-1775819","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T01:00:35Z","timestamp":1699578035000},"page":"492-499","source":"Crossref","is-referenced-by-count":0,"title":["Reverse Wafer Procedure"],"prefix":"10.1055","volume":"13","author":[{"given":"Ismail Bulent","family":"Ozcelik","sequence":"additional","affiliation":[{"name":"Hand and Upper Extremity Surgery Unit, Yeniyuzy\u0131l University, Gaziosmanpasa Hospital, El Istanbul Hand and Microsurgery Group, Ni\u015fanta\u015f\u0131 University Faculty of Health Sciences Dean, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4839-1747","authenticated-orcid":false,"given":"Ali","family":"Cavit","sequence":"additional","affiliation":[{"name":"Istanbul Haydarpasa Numune Training and Research Hospital, Hand and Upper Extremity Surgery Clinic, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aydin","family":"Yuceturk","sequence":"additional","affiliation":[{"name":"Clinic Plexus, Besiktas, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.hcl.2010.05.011","article-title":"Ulnar impaction","volume":"26","author":"D M Sammer","year":"2010","journal-title":"Hand Clin"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/S0266-7681(98)80090-9","article-title":"Ulnar impaction syndrome in the ulnar negative and neutral wrist. 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