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J Hand Microsurg 2009; 01(02): 103-107
DOI: 10.1007/s12593-009-0013-8
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Thieme Medical and Scientific Publishers Private Ltd.

Subcapital ulnar shortening osteotomy

Mark Henry
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Publication History

18 May 2009

21 July 2009

Publication Date:
05 September 2016 (online)

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Abstract

Ulnar shortening osteotomy is the standard treatment for the condition of ulnocarpal impaction. Traditionally ulnar shortening osteotomy has been performed in the diaphysis and secured with a 3.5 mm plate. Delayed union, nonunion, and symptomatic hardware have been cited as detractors of this technique. A number of alternatives have consequently been proposed that range from different hardware to different patterns of osteotomy to resection of the distal portion of the ulnar head. This article describes one method for ulnar shortening osteotomy that seeks to draw upon the advantages of several of these variations in order to minimize complications.

Keywords

Ulnar - Shortening - Osteotomy - Impaction - locking, plates
 

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