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Treatment of Madelung's deformity
1Institut français de chirurgie de la main, 5, rue du Dôme, 75116 Paris, France.
Chirurgie De La Main
|November 4, 2015
Summary
Corrective osteotomies effectively treat Madelung's deformity, significantly improving wrist function and reducing pain. Surgical interventions on the radius and ulna enhance range of motion and grip strength in patients.
Area of Science:
- Orthopedic surgery
- Hand and wrist surgery
Background:
- Madelung's deformity treatment remains controversial.
- The condition affects the distal radius and ulna, impacting wrist function.
Purpose of the Study:
- To evaluate the efficacy of surgical correction for Madelung's deformity.
- To assess improvements in range of motion, pain, and appearance post-surgery.
Main Methods:
- Retrospective review of 19 patients (21 cases) with Madelung's deformity.
- Surgical procedures included distal radial osteotomies (subtraction, addition, dome) and ulnar procedures (shortening, redirection, Sauvé-Kapandji, epiphysiodesis).
Main Results:
- Significant improvement in supination (48° to 72°) and grip strength (11 to 18 kgf).
- Over 75% of patients experienced no or intermittent pain post-surgery.
- Pronation showed a non-significant improvement (63° to 68°).
Conclusions:
- Corrective osteotomies are an effective treatment for Madelung's deformity.
- Surgery successfully reduces pain and improves wrist function, including supination and grip strength.
- Madelung's deformity requires intervention and responds well to surgical correction.
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