Norwegian Distal Ulna Resection - Replacement Study

Author(s):  
Hand Clinics ◽  
1998 ◽  
Vol 14 (2) ◽  
pp. 177-190
Author(s):  
Keith B. Raskin ◽  
Steven Beldner

Hand Clinics ◽  
1998 ◽  
Vol 14 (2) ◽  
pp. 213-229
Author(s):  
Eial Faierman ◽  
Jesse B. Jupiter
Keyword(s):  

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e24-e31
Author(s):  
Luca Vezzoni ◽  
Paolo Abrescia ◽  
Aldo Vezzoni

AbstractIn this case report, we describe an alternative surgical procedure to treat proximal radius and ulnar nonunion in a toy breed dog. A 14-month-old, Maltese cross-breed dog was referred after previous treatment with external and internal fixation had failed, resulting in a nonunion of a fracture of the proximal radius and ulna with the proximal radius fragment too small and friable to be used for fixation. A craniomedial approach was made to debride the radius nonunion site and a second approach to the lateral aspect of the ulna was made. The fracture was realigned and a titanium locking plate was applied in bridging fashion, fixed to the proximal ulnar fragment with three locking screws in the most proximal plate holes, a fourth screw was inserted in the mid-shaft of the distal ulnar fragment and three locking screws were inserted in the distal most holes of the plate through the distal ulna to engage the distal radial fragment. A recombinant bone morphogenetic protein 2 graft was inserted into the radius and ulna fracture sites. The dog had a successful clinical and radiographic outcome with bridging of the defect 4 weeks postoperatively and complete callus formation 8 weeks postoperatively. Implants have undergone dynamization and then removal. Use of a locking plate as an internal fixator achieving fixation of the proximal ulna and distal radius can be considered an option for the treatment of proximal radioulnar nonunions with a small proximal radial fragment.


1998 ◽  
Vol 19 (4) ◽  
pp. 314-335 ◽  
Author(s):  
Deborah Grady ◽  
William Applegate ◽  
Trudy Bush ◽  
Curt Furberg ◽  
Betty Riggs ◽  
...  
Keyword(s):  

2002 ◽  
Vol 51 (4) ◽  
pp. 720-722 ◽  
Author(s):  
Yasuomi Kawasoe ◽  
Shinji Yoshino ◽  
Kyoji Hayashi ◽  
Masahiro Yokouchi ◽  
Toshiyuki Onishi ◽  
...  

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 383-386 ◽  
Author(s):  
Motoki Sonohata ◽  
Hiroko Mine ◽  
Toshiyuki Tsuruta ◽  
Masaaki Mawatari

Isolated volar dislocation of the distal ulna without forearm fracture is very rare; however, this injury is incorrectly diagnosed in approximately 50% of cases. This injury can lead to a significant functional disability if left untreated. This report presents a case of isolated volar dislocation of the distal ulna with an ulnar styloid fracture. The dislocation was subsequently reduced, the styloid was surgically repaired, and the patient was satisfied at the last follow-up. The importance of a proper clinical examination and an accurate radiographic position of the wrist are stressed. Furthermore, clinical evaluation of the distal radioular joint after reduction is important in achieving good results. There are various strategies for the treatment of distal radioulnar joint after reduction, including conservative treatment or surgical treatment. We believe that surgical exploration could have been carried out at an earlier stage had such a lesion been suspected. Additional case reports of other instances of successful treatment are needed to educate orthopaedic surgeons and emergency medical technicians on the nature of this type of injury.


2009 ◽  
Vol 24 (2) ◽  
pp. 88-90
Author(s):  
Ian Winspur ◽  
Katherine Butler

Wrist fractures are common injuries in musicians, and a number of these fractures heal in a mal-united position, interfering with wrist rotation. This can prevent musicians who play keyboard instruments and the smaller string instruments from assuming the required wrist positions. Resection of the distal ulna (Darrach procedure), while somewhat discredited for the general population, has proved to be the ideal operation for this problem in musicians and has been used successfully on five professional musicians. This procedure, the rationale for its use in musicians, and the important technical details are discussed.


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