Volume 3, 2017
Special Issue: "Deformity correction, limb lengthening and reconstruction" Guest Editor: Y. ElBatrawy
|Number of page(s)||13|
|Section||Wrist & Hand|
|Published online||24 January 2017|
The Paley ulnarization of the carpus with ulnar shortening osteotomy for treatment of radial club hand
Director, Paley Institute, West Palm Beach, Florida, USA
* Corresponding author: firstname.lastname@example.org
Accepted: 29 October 2016
Recurrent deformity from centralization and radialization led to the development in 1999 of a new technique by the author called ulnarization. This method is performed through a volar approach in a vascular and physeal sparing fashion. It biomechanically balances the muscle forces on the wrist by dorsally transferring the flexor carpi ulnaris (FCU) from a deforming to a corrective force. The previous problems of a prominent bump from the ulnar head and ulnar deviation instability were solved by acutely shortening the diaphysis and by temporarily fixing the station of the carpus to the ulnar head at the level of the scaphoid. This is the first report of this modified Paley ulnarization method, which the author considers a significant improvement over his original procedure.
Key words: Radial club hand / Ulnarization / Radialization / Centralization / Congenital radius deficiency
© The Authors, published by EDP Sciences, 2017
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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