[ XXXX : isolated ulnar wedge osteotomy].

@entity1 @entity717 @entity1289 @entity1347 @entity158 @entity15198 @entity85
OBJECTIVES: @entity15198 is defined as a partial closure of the medial half of the distal radial growth plate, with anatomical consequences (wrist deformity), and functional impairment (decrease range of motion, loss of grip strength, and @entity158 ). We report a new surgical procedure including a shortening of the ulna combined with slight @entity1347 aiming to correct the radio-ulnar dislocation and to improve the range of @entity717 , without correcting the @entity85 . METHODS: This was a retrospective study of four symptomatic wrists in three @entity1 . The follow-up was 24 months. @entity1 were assessed clinically and radiologically pre and post operatively. The ulnar shaft was shortened and anteriorly flexed through a dorsal and ulnar approach and fixed with a fitted internal @entity1289 plate. The aim of this osteotomy was to reduce the dislocated distal radio-ulnar joint. RESULTS: At 24 months follow-up, the function was considerably improved with a correction of the ulno-carpial conflict. The range of @entity717 improved. The post-operative views showed a correction of the dorsal dislocation of the ulnar head. CONCLUSION: This technique seemed to be safe and demonstrated good results in these four wrists. It should be proposed in @entity1 with @entity15198 and assessed prospectively.
