Application of the Ulnar Sleeve

Orthopedic implants India report on the application of the ulnar sleeve.  In order to formulate the report, data on patient history, number of visits, range of motion of joints, x-ray measures of alignment, complications, etc was taken into consideration. Orthopedic instruments specialist persons were asked to record each patient’s data on special forms kept in their medical records. The obtained data were entered into a computer database for statistical assessment. 

In our analysis of 150+ isolated fractures of the ulna, we identified very few cases of nonunion in a fracture which were located approximately 2.5 cm above the flare of the distal ulna metaphysic (a narrow portion of a long bone between the epiphysis and the diaphysis). Another 10-15 patients were lost to follow-up. The major analysis showed that the maximum of the patients sustained their fractures as a result of direct blows to the ulna. 

A few other factors to consider in our orthopedic implant supplier report were that out of the total fractures analyzed 110 of them were closed and 12 were open. The age group of the analyzed patients was in between 16 to 75 years, with a median of 35 years. Eighty-two patients were male and 60 were female. The time gap between the injury and use of the orthopedic instruments like brace ranged from 1 to 42 days, with a median of 10 days.

The average time for brace removal by ortho surgical implants doctors was 9.6 weeks with a range from 6 to 22 weeks. The shorter brace removal time was more in case of the distal fractures. As far as open or closed brace fractures were considered, closed fractures have the braces removed earlier than open fractures. 

Abnormal bending of the ulna toward the radius was the most common form of residual deformity measured by our ortho surgical implants doctors. It was measurable in 78% of the patients. Volar angulation (negative volar tilt) was the next most common angulation measured and occurred in only 1/4th of the patients. 

The loss of motion of the forearm was very precisely measured by our orthopedic implants and instruments specialists and was compared with normal extremity. The result stated that 61% of the patients had no limitation of pronosupination (motion allowing rotation of part of member compared to another) and 89% had less than 15% mutilation of function. 

More than 90% had a full range of motion of the elbow and wrist. Distal and mid diaphyseal fractures involving the radius and ulna occurred most commonly. The ulna fractures were usually noted, commonly in the proximal third of the ulna in four cases and were treated with Orthopedic Implants like locking plates. The basis of this treatment was explained by our orthopedic instruments team. They stated that the most fractures of the ulna at this level were the result of falls on the extended hand and were usually followed with a dislodgment of the radial head. It is very important to understand that such fractures should not be treated with functional braces since the anatomical reduction of the fracture is most enviable in order to prevent the reappearance of the dislocation.

In our more recent study of orthopedic implants, the result was again found in accordance with previous results. The only difference was in the occurrence of nonunion which was around 2.5% in the present study.