An Operation for the Correction of Madelung's Deformity and Similar Conditions

Abstract

in 1932, described an operative procedure which he had used for correction of a case of talipes varus resulting. from defective growth at the lower end of the tibia. Two months ago I showed before this Section a similar case treated by his method. I have adopted the same principle in three cases of deformity resulting from defective growth at the lower end of the radius.The steps in the procedure are as follows : A portion of the ulna, near its lower end and including the epiphyseal disc, is excised. A "linear" osteotomy of the

Madelung’s Deformity: Treatment With Radial Osteotomy and Insertion of a Trapezoidal Wedge

“…15,19,20 Good results were achieved with uniplanar or biplanar subtraction osteotomy of the radius associated with arthroplasty or resection of the ulnar distal end; however, this caused an even greater shortening of the forearm and loss of the stabilizing effect of the ulna. 16,17,23,29 Biplanar subtraction radial osteotomy associated with ulnar diaphysiary shortening re-established in part the carpalradial and radial-ulnar congruence with good functional and aesthetic results, although at the cost of forearm shortening. 24,25,28 The majority of the techniques describe an approach between the radius and the ulna and usually worsen the radial shortening, which is already shortened because of the deformity itself.…”

“…13 To treat this deformity, several surgical techniques have been used to approach the radius or the ulna alone, 10,12,14 -22 as well as techniques that involve the 2 bones of the forearm. [23][24][25][26][27][28][29][30][31] Based on the double-osteotomy radial technique with insertion of bone wedges from the iliac as described by Murphy et al 32 in 1997, we started using a modification of this technique by performing only 1 osteotomy with the insertion of a trapezoidal wedge. In this article we describe the modified technique and our clinical experience with this method.…”

Madelung Deformitesinde Radius Düzeltici, Ulna Kisaltıcı Osteotomi Sonuçları: Olgu serisi

“…Asymptomatic patients can be followed conservatively; however, conservative treatment fails in preventing deformity development. There are many surgical procedures for the treatment of Madelung deformity (6)(7)(8)(9)(10)(11)(12)(13). An appropriate procedure can be decided by taking into consideration the patient's age, degree of deformity and pain, and functional status.…”

Madelung’s Deformity: Radial Opening Wedge Osteotomy and Modified Darrach Procedure Using the Ulnar Head as Trapezoidal Bone Graft

“…Many surgical procedures have been described, including excision of the distal ulna (Nielsen, 1977;Ranawat et al, 1975;Schmidt-Rohlfing et al, 2001), ulnar shortening osteotomies (Bruno et al, 2003;Nielsen, 1977;Schmidt-Rohlfing et al, 2001), wrist denervation (Schmidt-Rohlfing et al, 2001), radiocarpal arthrodesis combined with distal ulna excision (Henry and Thorburn, 1967), Sauve´-Kapandji procedure (Angelini et al, 1996), epiphysiodesis (Vickers and Nielsen, 1992), opening or closing wedge osteotomy of the distal radius (De Paula et al, 2006;Houshian et al, 2000;Murphy et al, 1996, Schmidt-Rohlfing et al, 2001, or a combination of the above (Burrows, 1937;Dos Reis et al, 1998;Nielsen, 1977;Ranawat et al, 1975;Salon et al, 2000;Watson et al, 1993;White and Weiland, 1987). Due to the rarity of the condition, few studies in the literature describe more than 15 patients.…”