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Archives of Orthopaedic and Trauma Surgery

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01-05-2020 | Distal Radius Fracture | Handsurgery

Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures

Authors: Athanasios Terzis, S. Koehler, J. Sebald, M. Sauerbier

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2020

Abstract

A malunited distal radius fracture can lead to symptomatic ulnar impaction syndrome, which is a common cause for ulnar-sided wrist pain. If conservative treatment fails and symptoms persist after an arthroscopic ulnocarpal debridement, ulnar shortening osteotomy (USO) is the treatment of choice. Since the first USO described by Milch in 1941 after a malunited Colles fracture, many techniques have been described varying in surgical approach, type of osteotomy and osteosynthesis material used. Many studies demonstrated good to very good functional results after USO, reporting, however, a delayed union or non-union rate up to 18%. A modern, low profile, locking plate showed in our short-term study very good functional results and no implant-associated complications, in particular no non-union.

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Title: Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures
Authors: Athanasios Terzis
S. Koehler
J. Sebald
M. Sauerbier
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Distal Radius Fracture
Wound Debridement
Ulnar Impaction Syndrome
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03374-x

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Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures

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