Comparison of Ulnar-Shortening Osteotomy With a New Trimed Dynamic Compression System Versus the Synthes Dynamic Compression System: Clinical Study

Luria, Shai; Lauder, Anthony J.; Trumble, Thomas E.

doi:10.1016/j.jhsa.2008.05.021

Cited by 41 publications

(39 citation statements)

References 9 publications

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“…The deformity of disturbed radio-ulnar variance is mostly associated with triangular fibrocartilage complex (TFCC) lesions and distal radio-ulnar joint (DRUJ) instability. If the dome of the distal ulna is more distal than the ulnar corner of the distal radius it is called 'positive ulnar variance' [2]. Positive ulnar variance can be the reason for the wrist pain, abnormal wrist mechanics, and limited ulnar deviation and rotation of the forearm.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Radial Lengthening and Ulnar Shortening for a Delayed Presentation of Radius Distal Physeal Arrest: A Case Report

2016

Ann Clin Anal Med

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ÖzetDistal radius kırıkları çocuklar ve yaşlılarda sık görülen el bileği yaralanmalarıdır (% 18% 25). Distal radius kırığı sonrası büyüme plağının etkilenmesi ve fizyal arrest gelişmesi ise daha nadirdir. Fizyal arrest sonrası gelişen ana deformite radius kısalığı ve bununla ilişkili olarak ulna aşırı büyümesidir, el bileği ağrısı ve fonksiyonel kısıtlılık ise ana yakınmalardır. Bu yazıda travma sonrası distal radius fizyal arrest gelişen adölosan hastanın deformitesine yönelik uygulanan eş zamanlı radyal uzatma ve ulnar kısalma cerrahi prosedürünün sunulması amaçlanmıştır. Anahtar KelimelerRadiyal Uzatma; Ulna Kısaltma; Eşzamanlı Osteotomi; Fizyal Arrest; Pozitif Ulnar Varyans AbstractDistal radius fractures are common injuries in both children and in the elderly (25%; 18%). Distal radius physeal fractures have a high incidence, but physeal growth arrest occurs at a low rate. As a main deformity, radial shortening occurs with relative ulnar overgrowth leading to significant complaints of pain and functional limitations after distal radial growth arrest. In this paper we aim to report on the restoration of the wrist mechanics attained by performing a surgical technique of simultaneous radial lengthening and ulnar shortening procedures in an adolescent with a significant ulnar overgrowth deformity due to a posttraumatic growth arrest of distal radius.

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Section: Introductionmentioning

confidence: 99%

Simultaneous Radial Lengthening and Ulnar Shortening for a Delayed Presentation of Radius Distal Physeal Arrest: A Case Report

2016

Ann Clin Anal Med

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“…It was first described by Henry Milch in 1941 [15]. Several modifications of the surgical technique have been published focusing on parallel osteotomy [12,17,18], securing of rotation [4,10,14], compression at the osteotomy site [3,25,31], and plate position [2,5,24] to minimize associated complications.…”

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confidence: 99%

“…The use of an interfragmentary lag screw additionally reduces the nonunion rate compared to transverse osteotomies [11,24]. The use of saw guides proved to be superior to freehand cuts in achieving parallel osteotomies [14,17,24]. Single broad saw blades also enable parallel osteotomies [12,27], but their use is limited to a smaller amount of shortening and they endanger bone healing as with increasing blade thickness heat necrosis is discussed [6].…”

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confidence: 99%

“…The use of a sliding-hole plate prior to the osteotomy allows shortening without the need for complete plate removal during the procedure [10,14].…”

mentioning

confidence: 99%

“…Closure and slight compression of the osteotomy gap can be achieved by simple traction of the plate [10], excentric screw placement in dynamic compression plating [4], bone compression clamps [14] or special compression devices [3,24].…”

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confidence: 99%

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Ulnar shortening with the ulna osteotomy locking plate

Schmidle

Arora

Gabl

2012

Oper Orthop Traumatol

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Sixteen ulnar shortening osteotomies were performed in 15 patients (6 men, 9 women, average age 49 years) and evaluated retrospectively. In 10 cases a trauma-related pathology was the indication for the procedure. The average follow-up time was 53 weeks (range 12-93 weeks). Bone union was observed at a median of 10 weeks (range 6-33 weeks). Overall good clinical results could be achieved with an average shortening of 3.7 mm (range 2.1-16 mm). In this series, there was one nonunion.

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A Prospective Study on the Initial Results of a Low Profile Ulna Shortening Osteotomy System

Isaacs¹,

Howard

Gulkin³

2009

Hand (New York, N,Y.)

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Extra-articular ulna shortening osteotomy, in principle, is an accepted treatment option for symptomatic degenerative and traumatic triangular fibrocartilage complex (TFCC) tears. Despite the benefits of this surgical approach, potential disadvantages include risk of nonunion, soft tissue irritation, and the need for future hardware removal. A recently introduced low profile ulna shortening system was designed to decrease these potential complications. A single-surgeon prospective study was performed to evaluate this system. Ten consecutive patients undergoing ulna shortening for ulnar-sided wrist pain compatible with TFCC pathology participated in the study. Subjective, objective, and radiographic assessments were performed preoperatively and up to 24 weeks postoperatively. Based on visual analog scale (VOS) ratings (0 to 10), pain scores significantly improved (p<0.05) and average patient satisfaction was 8.7. DASH and PRWE scores improved at three month follow-up (p<0.05). Osteotomy healing time averaged 10.3 weeks, and there were no nonunions. Average discomfort associated with palpation of the plate at final follow-up was 3.3 (using VOS), and one patient requested removal of the hardware. In this short-term follow-up study, the assessed ulna shortening system appears effective and, in general, well tolerated.

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Comparison of Ulnar-Shortening Osteotomy With a New Trimed Dynamic Compression System Versus the Synthes Dynamic Compression System: Clinical Study

Cited by 41 publications

References 9 publications

Simultaneous Radial Lengthening and Ulnar Shortening for a Delayed Presentation of Radius Distal Physeal Arrest: A Case Report

Simultaneous Radial Lengthening and Ulnar Shortening for a Delayed Presentation of Radius Distal Physeal Arrest: A Case Report

Ulnar shortening with the ulna osteotomy locking plate

A Prospective Study on the Initial Results of a Low Profile Ulna Shortening Osteotomy System

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