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Related Experiment Video

Updated: Mar 30, 2026

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Ulnar Shortening Osteotomy: Are Complications Under Reported?

Samuel K L Chan1, T Singh1, R Pinder1

  • 1Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham, B31 2AP UK.

Journal of Hand and Microsurgery
|November 19, 2015
PubMed
Summary

Oblique ulnar shortening osteotomy using a jig technique reliably shortens the ulna for impaction syndrome. While effective, potential complications like metalwork irritation require careful patient counseling.

Keywords:
ComplicationsUlnar impaction syndromeUlnar shortening osteotomy

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Upper Extremity Reconstruction

Background:

  • Ulnar impaction syndrome is a condition requiring surgical intervention.
  • Ulnar shortening osteotomy is a recognized treatment for this syndrome.
  • Various surgical techniques exist, but complication profiles vary.

Purpose of the Study:

  • To evaluate the outcomes of oblique ulnar shortening osteotomy using a jig technique.
  • To assess the complication rates associated with this specific surgical method.
  • To compare findings with existing literature on ulnar shortening osteotomy.

Main Methods:

  • Retrospective review of a single surgeon's case series over 10 years (2001-2011).
  • Inclusion of all patients who underwent ulnar shortening osteotomy.
  • Analysis of case notes for surgical technique and complication data.

Main Results:

  • Oblique ulnar osteotomy with a jig demonstrated reliability in ulna shortening, maintaining alignment, rotation, and compression.
  • Majority of patients experienced symptom improvement.
  • Reported complication rates included metalwork irritation (51%), non-union (6.3%), refracture (1.6%), and chronic regional pain syndrome (1.6%).

Conclusions:

  • Oblique ulnar osteotomy using a jig is a reliable and reproducible technique.
  • The morbidity associated with the procedure may be underestimated.
  • Appropriate patient counseling regarding potential complications is essential.