• Arch Orthop Trauma Surg · May 2020

    Review

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

    • Athanasios Terzis, S Koehler, J Sebald, and M Sauerbier.
    • Department for Plastic, Hand and Reconstructive Surgery, BG Trauma Center Frankfurt Am Main, FESSH Trauma Center, Academic Hospital of the Goethe University Frankfurt am Main, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany. athanasios.terzis@bgu-frankfurt.de.
    • Arch Orthop Trauma Surg. 2020 May 1; 140 (5): 681-695.

    AbstractA 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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