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Outcomes of Ulnar Shortening Osteotomy after Distal Radius Malunion: A Comprehensive Analysis

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Vol 05 Issue 1 | January 2024 | page: 12-14 | Naresh Kumar Panigrahi, Arun Kumar Naik

DOI: https://doi.org/10.13107/ojot.2024.v05i01.050

Received 29/05/2023; Reviewed 21/06/2023; Accepted 21/11/2023; Published 10/01/2024

Authors: Naresh Kumar Panigrahi [1], Arun Kumar Naik [1]

[1] Department of Orthopaedics, Hitech Medical College and Hospital, Rourkela, Odisha, India.

Address of Correspondence

Dr Naresh Kumar Panigrahi
Professor and HoD, Department of Orthopaedics, Hitech Medical College and Hospital, Rourkela, Odisha, India.
Email: drnareshpanigrahi@gmail.com

Abstract

Ulnar shortening osteotomy (USO) is a surgical intervention often performed to correct ulnar impaction syndrome, particularly following malunion of a distal radius fracture. This retrospective study examines the outcomes of 14 cases of USO, focusing on patient demographics, surgical techniques, and long-term results. The study found significant pain relief, improved range of motion, and enhanced grip strength in all patients. The average extension increased from 45 degrees preoperatively to 70 degrees postoperatively, and the average flexion improved from 40 degrees to 65 degrees. Grip strength increased from 60% to 90% of the contralateral side. Radiographic analysis revealed successful correction of ulnar variance in all patients, with an average reduction of 3.5 mm. Complications were rare, with only one case of superficial infection and one case of hardware irritation. The study underscores the efficacy of USO in treating ulnar impaction syndrome secondary to distal radius malunion, highlighting the importance of careful preoperative planning, precise surgical technique, and diligent postoperative care in achieving optimal results.

Keywords: Ulnar Shortening Osteotomy, Distal Radius Malunion, Ulnar Impaction Syndrome, Surgical Outcomes

References

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How to Cite this Article: Panigrahi N, Naik A | Outcomes of Ulnar Shortening Osteotomy after Distal Radius Malunion: A Comprehensive Analysis | The Odisha Journal of Orthopaedics and Trauma| January 2024; 05;01: 12-14 | https://doi.org/10.13107/ojot.2024.v05i01.050

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