Outcomes and complications of ulnar shortening osteotomy: an institutional review

Hand : Official Journal of the American Association for Hand Surgery
Raghav RajgopalRuby Grewal

Abstract

Ulnar impaction syndrome (UIS) is a common cause of ulnar wrist pain. Patients may be candidates for surgical intervention if nonoperative options are ineffective. At our institution, ulnar shortening osteotomy is the preferred procedure to manage this disorder. The purpose of this study was to present patient reported outcomes and complication rates of ulnar shortening osteotomy (USO) at mid-term follow-up. A retrospective chart review of 72 patients (75 wrists) obtained from our institutional database was performed. At a mean 32 months postoperatively, telephone interviews (n = 53) were performed for all patients who were available for follow-up. The patient-rated wrist evaluation (PRWE), a validated outcome tool, was completed and complications were reviewed. Patient-rated outcomes were favorable; however, complications were frequent and included: delayed union (10/75, 13.3 %), nonunion (6/75, 8 %), and complex regional pain syndrome (5/75, 6.7 %). Ten patients (13.3 %) required revision surgery. Thirty-four patients (45.3 %) required hardware removal with 4/30 (11.4 %) of these patients experiencing refracture. Smokers (mean PRWE 67.1) and patients with workers' compensation claims (mean PRWE 64.9) reported higher residual ...Continue Reading

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Citations

Oct 27, 2017·Plastic and Reconstructive Surgery·Taichi SaitoKevin C Chung
Feb 2, 2019·The Journal of Hand Surgery, European Volume·Samir K TrehanCharles A Goldfarb
Mar 9, 2019·Hand : Official Journal of the American Association for Hand Surgery·Svenna H W L VerhielNeal C Chen
Oct 24, 2020·Revista Brasileira De Ortopedia·Afonso Nobre Pinto CardosoFilipa Santos Silva

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