However, rather than addressing the implant, the surgeon recommended
ulnar osteotomy, which was unnecessary and inappropriate.
Studies suggest that if a UAP is detected early enough,
an ulnar osteotomy, which is the cutting of the ulna bone, can be used to reduce stress and potentially allow the UAP to unite normally in a growing puppy.
Elbow Dysplasia (fragmented coronoid excision, ununited anconeal process, proximal abducting
ulnar osteotomy, sliding humeral osteotomy)
Elbow incongruency: if the ulna is shorter than the radius a dynamic proximal
ulnar osteotomy is indicated.
3 / PAUL Procedure: Due to the progression of arthritis and lameness typically seen in dogs with medical management and fragment removal the PAUL (Proximal Abducting
Ulnar Osteotomy) procedure has been developed.