2013
DOI: 10.1016/j.otsr.2013.03.007
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Reverse wedge osteotomy of the distal radius in Madelung's deformity

Abstract: Madelung's deformity results from a growth defect in the palmar and ulnar region of the distal radius. It presents as an excessively inclined radial joint surface, inducing "spontaneous progressive palmar subluxation of the wrist". The principle of reverse wedge osteotomy (RWO) consists in the reorientation of the radial joint surface by taking a circumferential bone wedge, the base of which is harvested from the excess of the radial and dorsal cortical bone of the distal radius, then turning it over and putti… Show more

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Cited by 23 publications
(21 citation statements)
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“…It associates a subtraction on the surplus cortices and an addition on the deficit corticals which gives it an incomparable power of correction in the three planes of the space [1]. This results in a significant improvement in wrist aesthetics, joint mobility and radiological parameters [1]. Surgery was performed under general anesthesia with brachial tourniquet.…”
Section: Discussionmentioning
confidence: 99%
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“…It associates a subtraction on the surplus cortices and an addition on the deficit corticals which gives it an incomparable power of correction in the three planes of the space [1]. This results in a significant improvement in wrist aesthetics, joint mobility and radiological parameters [1]. Surgery was performed under general anesthesia with brachial tourniquet.…”
Section: Discussionmentioning
confidence: 99%
“…The result is a correction in the frontal plane only, since the authors reintroduced the wedge taken from the radial half into the ulnar half of the osteotomy [3]. OCR more proximal than Watson et al osteotomy avoids aggression directly from the distal radioulnar joint and allows the dorsal tilting of the radial epiphysis which will thus join the ulnar head [1]. With regard to addition osteotomy with a free trapezoidal bone graft, described by Murphy et al in 1996 [6] and modified by de Paula et al [7] theoretically allows to restore the length of the radius and to reorient the radial glenoid.…”
Section: Discussionmentioning
confidence: 99%
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