- Training
- 17/12/2019
- USA
Ulnar Shortening Osteotomy
Description
This video presents a detailed case on ulnar shortening osteotomy conducted by Isaac Gammal. It follows a 61-year-old female patient with ulnar positive variance and ulnar carpal impaction syndrome, as revealed on MRI imaging. The surgical process starts with marking an incision around 3 to 4 cm proximal to the distal end of the ulna, progressing through skin to fascia before elevating tissue to expose the bone. The procedure includes the careful insertion and adjustment of a plate with specific drill holes for plate compression and sliding, enabling a shortening cut of six millimeters in the ulna. Both the locking and non-locking screws are centrally utilized to secure the plate tightly to the ulna post-cuts. After loosening certain bolts to optimize compression and inserting a lag screw, the surgical team effectively closes the osteotomy site. The final steps include suturing the fascia and skin, followed by an X-ray showing the successfully corrected ulnar position, now demonstrating a ulnar negative wrist configuration.
Part of: Surgical Techniques and Training Collection
"Ulnar Shortening Osteotomy" is included in the following Surgical Techniques and Training playlist: