Isolated ulnar shaft fractures. Retrospective study of 46 cases.
Retrospectively, we reviewed the treatment and outcome of 46 isolated fractures of the ulnar shaft. Of 18 fractures treated by immediate open reduction and internal fixation, one open fracture became infected and failed to unite. Of 28 fractures treated closed, seven failed to unite. The factors prognostic of nonunion in closed treated fractures were (1) fracture in the proximal third of the ulna and (2) displacement 5 mm or more. In such cases, we recommend internal fixation.
Department of Orthopedics, University of California, Davis, Sacramento 95817.
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RM
Szabo
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Skinner
D000293:Adolescent; D000328:Adult; D002370:Casts, Surgical; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000628:therapy; D005597:Fractures, Open / Q000628:therapy; D005599:Fractures, Ununited / Q000209:etiology; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D014458:Ulna Fractures / Q000628:therapy*