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J Wrist Surg 2018; 07(04): 281-287
DOI: 10.1055/s-0037-1608636
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Dorsal Approach for Ulnar Shortening Osteotomy

Bo J. W. Notermans
1   Department of Plastic and Reconstructive Surgery, University Medical Center Utrecht, The Netherlands
,
Wiesje Maarse
1   Department of Plastic and Reconstructive Surgery, University Medical Center Utrecht, The Netherlands
,
Arnold H. Schuurman
1   Department of Plastic and Reconstructive Surgery, University Medical Center Utrecht, The Netherlands
› Institutsangaben
Weitere Informationen

Publikationsverlauf

14. Dezember 2016

29. September 2017

Publikationsdatum:
22. November 2017 (online)

   Lizenzen und Reprints

Abstract

Aim This study aims to evaluate the long-term complications, results, and patient satisfaction rates of a dorsally approached ulnar shortening osteotomy for ulnar impaction syndrome.

Methods A retrospective chart review of 20 patients was performed. Primary outcomes of interest were subjective, measured using the Patient-Rated Wrist Evaluation (PRWE) score, Disability of the Arm, Shoulder, and Hand (DASH) score, and the third questionnaire about patient satisfaction, composed by the authors. Secondary outcomes included hardware removal due to irritation and other complications.

Results Mean postoperative functional score of PRWE was 28 (standard deviation [SD], 30) and DASH 20 (SD, 26), respectively. Fifteen patients were satisfied with the operation. Removal of hardware was noted in six patients. In one patient plate breakage occurred.

Conclusion Similar postoperative functional scores and complications were seen in patients undergoing an ulnar shortening osteotomy with a dorsally placed plate for ulnar impaction syndrome, compared with other plate placement localizations. The incidence of plate removal is also comparable to previously described results. As the dorsally placed plate and freehand technique, are relatively easy, we feel that it has a place in the treatment of ulnar impaction syndrome.

Level of Evidence Level IV, retrospective cohort study.

Keywords

ulnar shortening osteotomy - dorsal approach - hardware removal - ulnar impaction syndrome

Funding

None.


Note

The authors obtained approval of the medical ethical review committee.


 

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