Madelung’s Deformity: Radial Opening Wedge Osteotomy and Modified Darrach Procedure Using the Ulnar Head as Trapezoidal Bone Graft
| Autor: | A. Al-Beer, R. Kampa, T. S. Axelrod |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Wrist Joint medicine.medical_specialty medicine.medical_treatment Tendon Transfer Ulna 030230 surgery Osteotomy Iliac crest 03 medical and health sciences Grip strength 0302 clinical medicine Tendon transfer Deformity medicine Humans Orthopedic Procedures Range of Motion Articular Pain Measurement 030222 orthopedics Hand Strength business.industry Middle Aged medicine.disease Surgery Radius medicine.anatomical_structure Madelung's deformity Orthopedic surgery Female medicine.symptom business Range of motion |
| Zdroj: | Journal of Hand Surgery (European Volume). 35:708-714 |
| ISSN: | 2043-6289 1753-1934 |
| Popis: | Surgery may be indicated in treating Madelung’s deformity and numerous techniques have been described. This study reports the early clinical and radiological results of a radial biplanar opening wedge osteotomy and modified Darrach procedure, using the excised ulnar head as a trapezoidal bone graft. Between 2000 and 2008, five adult wrists with symptomatic Madelung’s deformity underwent surgery. All patients were female, with an average age at surgery of 34 years. Assessment included range of movement, grip strength, DASH scores and radiological imaging. All patients improved both subjectively and objectively with regards to pain, functional range of movement, and appearance at mean follow-up of 55 months (range 14—113). All osteotomies united. One patient required removal of hardware for restricted rotation. This technique provided satisfactory results that are comparable to other studies, and avoids the use of iliac crest bone graft. |
| Databáze: | OpenAIRE |
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