[Analysis of the effectiveness of sequential plate internal fixation in correction of Madelung deformity after ulnar osteotomy and shortening].

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: 利益冲突　在课题研究和文章撰写过程中不存在利益冲突；经费支持没有影响文章观点和对研究数据客观结果的统计分析及其报道 18. Orthop Traumatol Surg Res. 2013 Jun;99(4 Suppl):S279-83. doi: 10.1016/j.otsr.2013.03.007. Epub 2013 Apr 24. Reverse wedge osteotomy of the distal radius in Madelung's deformity. Mallard F(1), Jeudy J, Rabarin F, Raimbeau G, Fouque PA, Cesari B, Bizot P, Saint-Cast Y. Author information: (1)Hand Center, Village Angers Santé-Loire, 47 rue de la Foucaudière, Trelaze, France. florence.mallard@wanadoo.fr 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 putting back this reverse wedge into the osteotomy so as to obtain closure on the excess and opening on the deficient cortical bone. RWO corrects the palmar subluxation of the carpus and improves distal radio-ulnar alignment. All five bilaterally operated patients were satisfied, esthetically and functionally. Its corrective power gives RWO a place apart among the surgical techniques currently available in Madelung's deformity. Copyright © 2013. Published by Elsevier Masson SAS. DOI: 10.1016/j.otsr.2013.03.007