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The use of an opening or closing wedge osteotomy to straighten the curved ulna in radial clubhands was simulated by using a specially designed computer program. Sixty-eight lateral x-ray films of curved ulnas in 39 children aged from a few weeks to early adolescence were examined. When lengthening is possible, closing wedge osteotomies yield, at best, only millimeters gain in length. Many will decrease...
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