Higgins J, Shores J, Katz R, Lee WPA, Wolock B
Journal of Hand Surgery; 2014, January, Volume 39, Number 1, Pages 134-142
One of the challenges of forearm-level hand transplantation surgery is the achievement of osseos union of the ulna given the substantial soft tissue dissection, the use of immune modulating medications, and the diaphyseal level of osseos coaptation. Modification of the conventional surgical technique for an elective ulnar shortening osteotomy provides the advantages of precise osteotomy alignment, a large contact surface oblique osteotomy, and lag screw compressiong plating technique. A step-by-step description of the developed modification is provided with a case example.