Modified dome osteotomy and anterior locking plate fixation for distal radius variant of Madelung deformity: a retrospective study

Reverse wedge osteotomy for Madelung’s deformity in a high school student: A case report

“…11 They achieved clinical good outcomes and wrist pain relief in all patients in midterm follow up. 11 We used the standard volar locking plate fixation for revers wedge osteotomy in the patients with closed epiphyseal line of the distal radius. The non-invasive fixation technique with a small volar locking plate may be useful for revers wedge osteotomy on the peripheral side of the epiphyseal line so as not to damage the epiphyseal line in pediatric patients with Madelung deformity.…”

“…11 Acciaro et al, reported the usefulness of a small volar locking plate fixation for reverse dome osteotomy of the distal radial epiphysis, which is reversing the shape of the classical dome osteotomy and allowing for the multiplanar correction, in 13 pediatric patients with the common distal radius variant. 11 They achieved clinical good outcomes and wrist pain relief in all patients in midterm follow up. 11 We used the standard volar locking plate fixation for revers wedge osteotomy in the patients with closed epiphyseal line of the distal radius.…”

“…7 Earlier studies have demonstrated a distal radius dome osteotomy with resection of Vickers' ligament, preserving radial length and correcting the radial joint surface in three planes as an effective corrective procedure. 11 Acciaro et al, reported the usefulness of a small volar locking plate fixation for reverse dome osteotomy of the distal radial epiphysis, which is reversing the shape of the classical dome osteotomy and allowing for the multiplanar correction, in 13 pediatric patients with the common distal radius variant. 11 They achieved clinical good outcomes and wrist pain relief in all patients in midterm follow up.…”

“…7 Especially, surgical osteotomy techniques with volar locking plate fixation were reported to have stable corrective power. [8][9][10][11] Reverse wedge osteotomy, described first by Dagrégorio et al, was evolved to reorient the radial joint surface while correcting the overall radius length and reversing a bone wedge removed from the distal metaphysis of the radius, with a base cut from the surplus of the radial and dorsal cortical bone and a vertex in the hypotrophic area. 8,9 This report describes a 17-year-old female high school student with Madelung deformity who was treated successfully using reverse wedge osteotomy.…”

State of the art review: The pathogenesis and management of Madelung deformity

“…range of motion and grip strength) outcomes. Interestingly, it seems a paradigm shift is happening with recent case studies now including functional outcomes using the DASH, MHQ and PRWE instruments to quantify pre- and postoperative health (Baydar et al., 2022; Guillaume et al., 2022; Leti Acciaro et al., 2022; Reck et al., 2023). PROMIS requires the least time to complete with fewer children requiring assistance, as compared with the DASH and MHQ, while maintaining high correlations with upper extremity functioning (Waljee et al., 2015).…”