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Ulnar shortening osteotomy after Colles fracture
Kirstin Petersen1, Marianne Breddam, Peter Jørgsholm
1Department of Hand Surgery, Odense University Hospital, Denmark. kmp@dadlnet.dk
Summary
Ulnar shortening surgery effectively reduced pain and improved range of motion (ROM) in patients with ulnar-sided wrist pain following a Colles fracture. Most patients reported good to excellent outcomes and would opt for the procedure again.
Area of Science:
- Orthopedics
- Hand Surgery
- Traumatology
Background:
- Ulnar shortening is a recognized treatment for ulnar abutment.
- Its efficacy in cases of shortened radius with ulnar-sided wrist pain post-Colles fracture is less established.
Purpose of the Study:
- To evaluate the outcomes of ulnar shortening osteotomies in patients experiencing ulnar-sided wrist pain after a Colles fracture.
- To assess pain reduction, range of motion (ROM) changes, and patient satisfaction.
Main Methods:
- Retrospective analysis of 16 patients (17 osteotomies) with preoperative ulnar positive variance (median 5 mm).
- Patients underwent ulnar shortening osteotomy, with a median shortening of 4.5 mm.
- Follow-up assessed pain scores, ROM, complications, and patient-reported satisfaction.
Main Results:
- Median pain score decreased by 3 points.
- Postoperative ROM improved in 9 wrists, remained unchanged in 6, and decreased in 1.
- Complications included re-fracture (1), transient paresthesias (2), and superficial infection (1).
- Patient satisfaction was high, with 7 excellent, 6 good, and 3 fair results. 13/16 would choose the surgery again.
Conclusions:
- Ulnar shortening osteotomy is a viable surgical option for managing ulnar-sided wrist pain and improving function after Colles fractures.
- The procedure demonstrates significant pain relief and functional improvement with acceptable complication rates and high patient satisfaction.