Computer-Assisted 3-Dimensional-Planned Corrective Osteotomy for Symptomatic Fracture Malunion: An Ulna-Only Case Study

We present a case of an ulna malunion managed with computer-assisted 3-dimensional planned corrective osteotomy in a patient with a history of distal radius fracture treated with open reduction internal fixation and concurrent distal ulna fracture treated conservatively. The distal ulnar diaphyseal...

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Bibliographic Details
Published inJournal of hand surgery global online Vol. 4; no. 6; pp. 360 - 366
Main Authors Wazir, Maryam, Bhogesha, Sandeep, Lawson-Smith, Matthew
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.11.2022
Elsevier
Subjects
Case Report
Fracture
Malunion
Osteotomy
Three-dimensional guidance
Ulna
Malunion
Ulna
Fracture
Three-dimensional guidance
Osteotomy
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Summary:We present a case of an ulna malunion managed with computer-assisted 3-dimensional planned corrective osteotomy in a patient with a history of distal radius fracture treated with open reduction internal fixation and concurrent distal ulna fracture treated conservatively. The distal ulnar diaphyseal deformity was complex and existed in multiple planes, including a clinically significant rotational deformity. Preoperative computed tomography scans were used to plan 3-dimensional guides for the osteotomy, which were subsequently printed and used during surgery. After surgery, our radiologic findings showed a high degree of accuracy and the patient demonstrated pain-free, full range of motion and returned to contact sports 4 months after surgery. This could be a reliable and precise option for complex ulnar diaphyseal malunion corrective surgery.
ISSN:2589-5141
2589-5141
DOI:10.1016/j.jhsg.2022.07.007