Hypertrophic Delayed Union or Nonunion after Ulnar Shortening Osteotomy

Kwon,  Young Woo; Park,  Jong Woong; Park,  Ji Hun; Choi,  In Cheul; Nam,  Jae Jun; Suh,  Dong hun; Kang,  Jong Woo

doi:2019.24.1.56

Arch Hand Microsurg > Volume 24(1); 2019 > Article

Case Report

Archives of Hand and Microsurgery 2019;24(1):56-62.
Published online March 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.1.56

Hypertrophic Delayed Union or Nonunion after Ulnar Shortening Osteotomy

Young Woo Kwon¹, Jong Woong Park¹, Ji Hun Park², In Cheul Choi¹, Jae Jun Nam¹, Dong hun Suh³, Jong Woo Kang³

¹Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Korea.
²Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea.
³Department of Orthopedic Surgery, Korea University Ansan Hospital, Seoul, Korea. oskang@korea.ac.kr

Received: 17 December 2018 • Revised: 2 January 2019 • Accepted: 3 January 2019

Abstract

Ulnar shortening osteotomy is the most popular surgical technique for ulnar impaction syndrome and has a successful clinical results. However, delayed union and nonunion of the osteotomy site remain the most critical complications and conventionally, plate change and autogenous bone grafting had been performed for the treatment of delayed union and nonunion. The authors present 2 patients who had delayed union and nonunion after ulnar shortening osteotomy using 2.7 mm low profile ulnar shortening osteotomy system and can be treated with only additional mini plating.

Key Words: Ulna, Osteotomy, Nonunion, Delayed union