Osteotomy of the radius and ulna for the Madelung deformity

Osteotomy of the radius and ulna for the Madelung deformity

Author Reis, Fernando Baldy dos Autor UNIFESP Google Scholar
Katchburian, M. V. Autor UNIFESP Google Scholar
Faloppa, Flávio Autor UNIFESP Google Scholar
Albertoni, Walter Manna Autor UNIFESP Google Scholar
Laredo Filho, José Autor UNIFESP Google Scholar
Institution St Thomas Hosp
Universidade Federal de São Paulo (UNIFESP)
Abstract The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain, in this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna.Our results show statistically significant improvement in grip strength and range of movement of the wrist and forearm. Pain improved in 80% of the patients and 88% were satisfied with the appearance. One patient had a wound infection and another developed reflex sympathetic dystrophy, Two had some recurrence due to continued growth of the ulna and it is recommended that the procedure be delayed until skeletal maturity, or else combined with epiphysiodesis of the ulna.
Language English
Date 1998-09-01
Published in Journal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 80B, n. 5, p. 817-824, 1998.
ISSN 0301-620X (Sherpa/Romeo, impact factor)
Publisher British Editorial Soc Bone Joint Surgery
Extent 817-824
Origin http://dx.doi.org/10.1302/0301-620X.80B5.8691
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000077389000015
URI http://repositorio.unifesp.br/handle/11600/25942

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