Forearm transplantation osteosynthesis using modified ulnar shortening osteotomy technique. [Review] - 2014

Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present

One of the challenges of forearm-level hand transplantation surgery is the achievement of osseous union of the ulna given the substantial soft tissue dissection, the use of immune modulating medications, and the diaphyseal level of osseous coaptation. Modification of the conventional surgical technique for an elective ulnar shortening osteotomy provides the advantages of precise osteotomy alignment, a large contact surface oblique osteotomy, and lag screw and compression plating technique. A step-by-step description of the developed modification is provided with a case example. Copyright © 2014 American Society for Surgery of the Hand. All rights reserved.


English

0363-5023


*Amputation, Traumatic/su [Surgery]
*Arm/tr [Transplantation]
*Bone Plates
*Bone Screws
*Forearm Injuries/su [Surgery]
*Hand Injuries/su [Surgery]
*Hand Transplantation/mt [Methods]
*Osteotomy/mt [Methods]
Fracture Healing/ph [Physiology]
Humans
Microsurgery/mt [Methods]
Models, Anatomic
Postoperative Complications/et [Etiology]
Postoperative Complications/ra [Radiography]
Surgical Instruments
Ulna/su [Surgery]


Curtis National Hand Center


Journal Article
Review