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Madelung's deformity. A surgical technique

H K Watson1, E C Pitts, S Herber

  • 1Connecticut Combined Hand Surgery Service, Hartford Hospital, University of Connecticut.

Journal of Hand Surgery (Edinburgh, Scotland)
|October 1, 1993
PubMed
Summary
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This study details a surgical technique for Madelung

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Wrist deformities

Background:

  • Madelung's deformity is a rare congenital condition affecting wrist development.
  • It causes characteristic dorsal and ulnar wrist deviation.
  • Surgical intervention is often necessary for functional restoration.

Purpose of the Study:

  • To describe an evolved surgical technique for treating Madelung's deformity.
  • To report on the outcomes of radial osteotomies in a large patient series.

Main Methods:

  • Retrospective review of 15 patients with Madelung's deformity.
  • Detailed description of the radial osteotomy technique used between 1972 and 1990.
  • Assessment of preliminary follow-up results.

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Main Results:

  • The largest reported series of radial osteotomies for Madelung's deformity.
  • All 15 patients experienced symptomatic relief post-surgery.
  • Patients returned to normal activity levels after treatment.

Conclusions:

  • The described radial osteotomy technique is effective for treating Madelung's deformity.
  • Surgical correction leads to significant symptomatic improvement and functional recovery.
  • This series represents a substantial contribution to the understanding of surgical outcomes for this condition.