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We evaluated the association between plate location and hardware removal rate in 326 procedures in 321 patients with a median follow-up of 4.3\u00a0years (IQR 3.3) and corrected for confounding variables and did survival analyses. Complications were scored using the International Consortium for Health Outcome Measurement complications in Hand and Wrist Conditions tool. The 1-year and 5-year reoperation rates for hardware removal were 21% and 46% in the anterior group versus 37% and 64% in the dorsal group. Anterior plate placement was independently associated with a decreased immediate risk of hardware removal. Higher age, male sex and treatment on the dominant side were also associated with a reduced risk of hardware removal. We did not find a difference in hardware removal rates between freehand or jig-guided ulna shortening osteotomies. We noted perioperative problems in 3% of the procedures and complications in 20%.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934221089228","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:52:12Z","timestamp":1649724732000},"page":"831-838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The association between plate location and hardware removal following ulna shortening osteotomy: a cohort study"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-7297","authenticated-orcid":false,"given":"Joris S.","family":"Teunissen","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands"},{"name":"Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanharib","family":"Al Shaer","sequence":"additional","affiliation":[{"name":"Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands"},{"name":"Department of Surgery, Medisch Spectrum Twente, Enschede, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte P.A.","family":"van der Heijden","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery, Jeroen Bosch Ziekenhuis,\u2019s-Hertogenbosch, Brabant, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruud W.","family":"Selles","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven E.R.","family":"Hovius","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands"},{"name":"Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver T.","family":"Z\u00f6phel","sequence":"additional","affiliation":[{"name":"Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery, Ziekenhuisgroep Twente, Almelo, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Hand Wrist Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"crossref","unstructured":"Brody T. 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