gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Hypertrophic nonunion after ulnar shortening osteotomy with low profile ulnar shortening plate

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  • presenting/speaker Jong woo Kang - Korea University, Ansan Hospital, Ansan, South Korea
  • Jung heum Baek - Korea University, Ansan Hospital, Ansan, South Korea
  • Hyun jae Sung - Korea University, Ansan Hospital, Ansan, South Korea
  • Young woo Kwon - Korea University, Ansan Hospital, Seoul, South Korea
  • Jong woong Park - Korea University, Ansan Hospital, Seoul, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-746

doi: 10.3205/19ifssh0325, urn:nbn:de:0183-19ifssh03259

Published: February 6, 2020

© 2020 Kang et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: The most common and critical complication after diaphyseal ulnar shortening osteotomy is delayed union or nonunion. The authors describe 2 cases of hypertrophic nonunion after diaphyseal ulnar shortening osteotomy with low profile ulnar shortening plate and recommend the reasonable treatment with additional mini-plate fixation.

Methods: Additional mini-plate fixations were performed for all hypertrophic nonunion without bone grafting. Serial four planes simple radiography were taken after the additional mini-plate fixation until osteotomy union.

Results and Conclusions: One nonunion was united at 1 month and another was united at 2 months after the additional mini-plate fixation. Hypertrophic nonunion after diaphyseal ulnar shortening osteotomy with low profile ulnar shortening plate can be reasonably treated with additional mini-plate fixation without bone grafting.