OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #69, 11:00 AM *Corrective Osteotomy of Dorsally Malunited Fractures of the Distal Radius via the Extended Flexor Carpi Radialis Approach Jorge L. Orbay, MD (d-Hand Innovations, Inc.); Alejandro Badia, MD; Roger K. Khouri, MD; Eduardo González,...

Indication
ORIF, treatment of delayed union or nonunion ulnar fractures.
Osteotomy of the ulna.
Treatment of chronic osteomyelitis.
Ulnar lengthening (in Kienbock's disease).
Ulnar shortening (in cases of distal radial malunion).
Advantage
Simplest approaches of all forearm, uncovering the entire length of ulna.

For descriptive purposes, as well as for operative considerations, forearm fractures are classified by location, being categorized as proximal, middle, or distal third fractures. The middle third of the radius stretches from the radial bow to the beginning of diaphyseal straightening. The ulna is relatively straight and can be divided...