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Computer-Assisted 3-Dimensional-Planned Corrective Osteotomy for Symptomatic Fracture Malunion: An Ulna-Only Case
Maryam Wazir1,2,3, Sandeep Bhogesha2, Matthew Lawson-Smith1,2,4,3
1Fiona Stanley Hospital, Perth WA, Australia.
Computer-assisted 3D planning precisely corrected complex ulna malunion. This technique offers a reliable solution for challenging diaphyseal deformities, enabling a full return to sports.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Ulna malunion presents complex challenges, often involving multiplanar deformities.
- Traditional corrective osteotomies can be difficult for complex diaphyseal deformities.
Observation:
- A patient with a complex distal ulnar diaphyseal deformity, including rotational malalignment, was treated.
- The deformity resulted from a distal radius fracture with a concurrently treated distal ulna fracture.
Findings:
- Computer-assisted 3D planning utilizing CT scans enabled precise osteotomy guide creation.
- The surgical outcome demonstrated high radiologic accuracy.
- The patient achieved pain-free, full range of motion and returned to contact sports within 4 months.
Implications:
- Computer-assisted 3D planned corrective osteotomy is a precise and reliable method for complex ulna malunion.
- This approach may improve surgical outcomes and patient recovery for diaphyseal deformities.
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