Long-term follow-up of surgical correction of Madelung's deformity with conservation of the distal radioulnar joint in teenagers.
Eleven wrists with painful Madelung deformity in seven patients were corrected during adolescence by a closing wedge osteotomy of the radius and a shortening osteotomy of the ulna, with conservation of the distal radioulnar joint. At late follow-up (9.7 years) function was considerably improved. When the ulnar head was correctly relocated during operation, a new distal radioulnar space developed. Shortening of the ulna must be generous and combined with slight flexion at the osteotomy.
Salon
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Pediatric Orthopaedic Department, René Descartes Paris V University, Hôpital Necker-Enfants Malaldes, France.
Serra
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Pouliquen
J C
JC
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D011884:Radius / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014457:Ulna / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*