Osteotomy of the radius and ulna for the Madelung deformity

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dc.contributor.authorReis, Fernando Baldy dos [UNIFESP]
dc.contributor.authorKatchburian, M. V. [UNIFESP]
dc.contributor.authorFaloppa, Flávio [UNIFESP]
dc.contributor.authorAlbertoni, Walter Manna [UNIFESP]
dc.contributor.authorLaredo Filho, José [UNIFESP]
dc.contributor.institutionSt Thomas Hosp
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:30:38Z
dc.date.available2016-01-24T12:30:38Z
dc.date.issued1998-09-01
dc.description.abstractThe 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.en
dc.description.affiliationSt Thomas Hosp, London SE1 7E4, England
dc.description.affiliationUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent817-824
dc.identifierhttp://dx.doi.org/10.1302/0301-620X.80B5.8691
dc.identifier.citationJournal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 80B, n. 5, p. 817-824, 1998.
dc.identifier.doi10.1302/0301-620X.80B5.8691
dc.identifier.issn0301-620X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/25942
dc.identifier.wosWOS:000077389000015
dc.language.isoeng
dc.publisherBritish Editorial Soc Bone Joint Surgery
dc.relation.ispartofJournal of Bone and Joint Surgery-british Volume
dc.rightsAcesso aberto
dc.titleOsteotomy of the radius and ulna for the Madelung deformityen
dc.typeArtigo
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