{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:37:40Z","timestamp":1753886260153,"version":"3.41.2"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"content-version":"vor","delay-in-days":358,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> The purpose of this study is to investigate the outcomes of the use of a 2.7\u2009mm semitubular hook plate for internal fixation of unstable metaphyseal ulnar fractures.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Between January 2015 and July 2019, 30 consecutive patients with a recent unstable distal ulnar fracture were included in this prospective case series. All patients were subjected to follow\u2010up with the time of union, range of motion, pain using a Visual Analog Scale (VAS), and radiological and functional outcome using the quick Disabilities of the Arm, Shoulder, and Hand (DASH) score and Mayo wrist score after 12\u2009months.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The mean age of the patients was 45.3\u2009\u00b1\u200910\u2009years. There were 18 males (60%) and 12 females (40%), and there were 16 patients associated with distal radius fractures (53.33%). According to the AO classification of distal ulnar fractures, 3 fractures were type A2.1 (10%), 9 were type A2.2 (30%), 8 fractures were type A2.3 (26.67%), and 10 fractures were type A3 (33.33%). All fractures have been united with a mean duration of 9\u2009\u00b1\u20091.4\u2009weeks, the mean supination was 81.4\u00b0\u2009\u00b1\u20093.5\u00b0, the mean pronation was 81.3\u00b0\u2009\u00b1\u20094.5\u00b0, the mean flexion was\u2009=\u200971.7\u00b0\u2009\u00b1\u20093.6\u00b0, and the mean extension was\u2009=\u200981.7\u00b0\u2009\u00b1\u20093.4\u00b0. The mean VAS was 1.1\u2009\u00b1\u20091 points, the mean DASH score was 9.3\u2009\u00b1\u20095.6 points, and the mean Mayo wrist score was 88.5\u2009\u00b1\u20097.2 points; 17 patients were excellent (56.67%) and 10 patients were good (33.33%) while 3 patients had satisfactory outcome (10%).<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Using the 2.7\u2009mm semitubular hook plate is a successful choice for internal fixation of unstable distal ulnar fractures isolated or associated with distal radius fractures with a favorable union time, functional outcome, and range of motion with minimal complications.<\/jats:p>","DOI":"10.1155\/aort\/5663025","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T14:03:02Z","timestamp":1735048982000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Internal Fixation for Unstable Distal Ulnar Fractures by 2.7\u2009mm Semitubular Hook Plate"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3778-3294","authenticated-orcid":false,"given":"Mohamed","family":"I. 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