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  • ulnar shortening

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    Old 02-19-2014, 08:24 AM   #1
    MEGYOHE
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    Angry ulnar shortening

    I am 22 years old, and have just been informed that I need to have a Ulnar Shortening done on my wrist. I have had two pervious surgeries done to repair my TFCC. I am a little annoyed this is the first their coming across this, and that I now have to have a third surgery. Can anyone tell me their experience with this surgery? If it helped.. or made things worse. I am really nervous to comit to just a big procedure.. but hate dealing with the pain everyday...

    Thanks.

    Last edited by MEGYOHE; 02-19-2014 at 08:36 AM.

     
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    Old 02-19-2014, 07:14 PM   #2
    MountainReader
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    Re: ulnar shortening

    Hi,

    I had an ulnar osteotomy on my dominant right hand in 2012.

    I had mixed feelings about my results. Once the bone healed, I still had some ulnar sided pain. I had a good hand therapist and regular went to therapy. My ROM was good, but not 100% normal and the pain continued.

    I went to another hand specialist to see my options and it turned out my plate had come a bit loose which resulted in pain similar to my original pain. I had it removed and within a couple months, had my full ROM back with significant decrease in pain. I also had a bit of debridement done at that time. That was 2 years ago now. I don't have any problems with that part of my wrist.

    As for the bone healing, I didn't have any pain there. I was in a plaster splint for 2 weeks after surgery and a short arm fiberglass cast for a month.... well I had a thermal splint/cast the last couple weeks because I had a bit of a pressure point from the fiberglass cast that was driving me nuts. It acted as a cast though.

    I do highly recommend finding a certified hand therapist after the cast comes off. I think I had such good luck regaining the ROM because of that.

    Good luck if you choose to have the surgery.
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    Old 02-21-2014, 05:35 AM   #3
    MEGYOHE
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    Re: ulnar shortening

    MountainReader,

    Thank you very much for commenting on this. I will have to start looking to see if there is a any perfered hand therapists around. I have read multiple issues dealing with the plates and screws - but my doctor actually stated he would go in a year or so after surgery and take all my hardware out. As far as that, is that just a simple surgery? Do you have to wear anything afterwards? - I was told I would be in the plaster splint for two weeks, then a full arm cast for 6 weeks. Then I would get the splint and begin therapy. I go Wednesday to talk to my doctor a bit more for the surgery, but as of now I am definietly leaning towards doing it. Thanks again!!

     
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    Old 02-22-2014, 03:29 PM   #4
    MountainReader
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    Re: ulnar shortening

    The casting after the original surgery seems to vary by doctor. I've read several different types of post-surgery treatments on these boards.

    I was in the plaster splint/wrap for the first 2 weeks until swelling went down. I was then placed in a short arm cast for 4 weeks. They did x-rays and it showed the bone had healed well. When the cast came off, I started hand therapy.

    I've seen people on the boards who had the full arm casts, and even one who didn't have a cast at all.

    Basically, it is usually treated as a broken bone for healing purposes.

    I just had my wrist wrapped up after the removal of the hardware. I had debridement done at the same time though. I stopped wearing the wrap when the stitches came out. I had a terrific surgeon remove the hardware. He just did incisions on the ends of my original scar so there were only two small incisions to heal instead of one large one. My Osteotomy incision was 4 inches. It healed well, but took about a year for the redness to really dissipate.
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    Old 03-31-2014, 01:57 PM   #5
    LittleBoo
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    Re: ulnar shortening

    Hi MoutainReader, it is nice to be able to contact someone who has had an ulna shortening osteotomy. I am due to see the ortho surgeon on April 2nd and I believe that he has surgery in mind called the Kapandji procedure. I fractured my left wrist 4 years ago and have had pain ever since. There is a malunion of the radius and a nonunion of the ulna styloid. I am trying to decide whether it is worth going through with the surgery or whether the risk of complications is to high. Do you think it was worth it. I am also having surgery possibily in May for a hammertoe and a neuroma. Your views would be appreciated.

     
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