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Ulnar shortening osteotomy after Colles fracture

Petersen, K; Breddam, M; Jörgsholm, Peter LU and Schroder, H (2005) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 39(3). p.170-177
Abstract
Ulnar shortening is well accepted in the treatment of ulnar abutment but less so in patients with a shortened radius and ulnar-sided wrist pain as a result of a Colles fracture. Sixteen patients with pain and reduced range of movement ( ROM) and a median preoperative ulnar positive variance of 5 mm ( range 0.5 - 11) had 17 osteotomies. Nine were male and seven female with a median age of 35 ( range 15 - 55) years were operated on. Fifteen patients with 16 osteotomies could be reached for follow-up. The ulna was shortened by a median of 4.5 mm ( range 3 - 12). The median pain score was reduced by 3 points ( range 0 - 5). Postoperative ROM was improved in nine, unchanged in six, and reduced in one wrists. There were four complications: one... (More)
Ulnar shortening is well accepted in the treatment of ulnar abutment but less so in patients with a shortened radius and ulnar-sided wrist pain as a result of a Colles fracture. Sixteen patients with pain and reduced range of movement ( ROM) and a median preoperative ulnar positive variance of 5 mm ( range 0.5 - 11) had 17 osteotomies. Nine were male and seven female with a median age of 35 ( range 15 - 55) years were operated on. Fifteen patients with 16 osteotomies could be reached for follow-up. The ulna was shortened by a median of 4.5 mm ( range 3 - 12). The median pain score was reduced by 3 points ( range 0 - 5). Postoperative ROM was improved in nine, unchanged in six, and reduced in one wrists. There were four complications: one re-fracture, two transient paraesthesiae, and one superficial infection. Seven of the patients regarded the result as excellent, six as good, three as fair, and none regarded it as poor. Thirteen of the 16 would have chosen the operation again, three would not. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
positive variance, ulnar, ulnar impaction, ulnar shortening osteotomy, fracture sequelae
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
39
issue
3
pages
170 - 177
publisher
Taylor & Francis
external identifiers
  • pmid:16019750
  • wos:000229548900007
  • scopus:20944436971
ISSN
1651-2073
DOI
10.1080/02844310410004919
language
English
LU publication?
yes
id
c2aa1421-8b6f-48b0-bf4e-0e2d37bfae96 (old id 895355)
date added to LUP
2008-01-16 16:23:27
date last changed
2017-01-01 06:52:14
@article{c2aa1421-8b6f-48b0-bf4e-0e2d37bfae96,
  abstract     = {Ulnar shortening is well accepted in the treatment of ulnar abutment but less so in patients with a shortened radius and ulnar-sided wrist pain as a result of a Colles fracture. Sixteen patients with pain and reduced range of movement ( ROM) and a median preoperative ulnar positive variance of 5 mm ( range 0.5 - 11) had 17 osteotomies. Nine were male and seven female with a median age of 35 ( range 15 - 55) years were operated on. Fifteen patients with 16 osteotomies could be reached for follow-up. The ulna was shortened by a median of 4.5 mm ( range 3 - 12). The median pain score was reduced by 3 points ( range 0 - 5). Postoperative ROM was improved in nine, unchanged in six, and reduced in one wrists. There were four complications: one re-fracture, two transient paraesthesiae, and one superficial infection. Seven of the patients regarded the result as excellent, six as good, three as fair, and none regarded it as poor. Thirteen of the 16 would have chosen the operation again, three would not.},
  author       = {Petersen, K and Breddam, M and Jörgsholm, Peter and Schroder, H},
  issn         = {1651-2073},
  keyword      = {positive variance,ulnar,ulnar impaction,ulnar shortening osteotomy,fracture sequelae},
  language     = {eng},
  number       = {3},
  pages        = {170--177},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery},
  title        = {Ulnar shortening osteotomy after Colles fracture},
  url          = {http://dx.doi.org/10.1080/02844310410004919},
  volume       = {39},
  year         = {2005},
}