Reverse wedge osteotomy of the distal radius in Madelung's deformity

Summary 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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Orthopaedics & traumatology, surgery & research surgery & research, 2013-06, Vol.99 (4), p.S279-S283
Hauptverfasser: Mallard, F, Jeudy, J, Rabarin, F, Raimbeau, G, Fouque, P.-A, Cesari, B, Bizot, P, Saint-Cast, Y
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Summary 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.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2013.03.007