Forearm transplantation osteosynthesis using modified ulnar shortening osteotomy technique. [Review]
Citation: J Hand Surg [Am]. 39(1):134-42, 2014 Jan.Journal of Hand Surgery - American Volume. 39(1):134-42, 2014 Jan.PMID: 24369942Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *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]Year: 2014Local holdings: Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - presentISSN:- 0363-5023
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 24369942 | Available | 24369942 |
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.
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