One of the challenges of forearm-level hand transplantation surgery is the achievement of osseous union of the ulna given the substantial soft tissue dissection, the use of immune modulating medications, and the diaphyseal level of osseous coaptation. Modification of the conventional surgical technique for an elective ulnar shortening osteotomy provides the advantages of precise osteotomy alignment, a large contact surface oblique osteotomy, and lag screw and compression plating technique. A step-by-step description of the developed modification is provided with a case example.
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[Arthroscopic triangular fibrocartilage complex trimming combined with oblique osteotomy shortening of distal ulna for ulnar impact syndrome].
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Department of Orthopaedics, Tangshan People's Hospital, Tangshan 063000, Hebei, China.
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Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd, Beitou District, Taipei City 11217.
Neglected distal radial epiphyseal injuries can result in radial deformity and positive ulnar variance. We describe an inverted-dome radial osteotomy and ulnar shortening osteotomy to treat a paediatric distal radial malunion with ulnar impaction syndrome. V.
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J Orthop Sci
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Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.
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View Article and Find Full Text PDFBilateral ulnar longitudinal deficiency with oligodactyly in newborn.
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Hospital do Servidor Público Municipal, São Paulo, SP, Brazil.
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