Alaskan Three-Dimensional Osteotomy: Surgical Correction for Long Bone Malunions

The Alaskan three-dimensional osteotomy corrects angulation in 2 planes and rotation and length deformities for long bone malunions. The technique was performed on 3 patients with forearm malunions to improve forearm rotation, alleviate pain, and allow patients to return to more normal activities. Progress was monitored for a minimum of 2.5 years. Patients were pleased with the outcome, demonstrating range of motion recovery, pain relief, and enthusiastic return to normal activity. The simplicity and reproducibility of this effective technique are enhanced using precision surgical instrumentation.