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...

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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
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container_end_page S283
container_issue 4
container_start_page S279
container_title Orthopaedics & traumatology, surgery & research
container_volume 99
creator Mallard, F
Jeudy, J
Rabarin, F
Raimbeau, G
Fouque, P.-A
Cesari, B
Bizot, P
Saint-Cast, Y
description 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.
doi_str_mv 10.1016/j.otsr.2013.03.007
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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. 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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. 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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.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>23622863</pmid><doi>10.1016/j.otsr.2013.03.007</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals
subjects Adult
Cohort Studies
Female
Growth Disorders - pathology
Growth Disorders - physiopathology
Growth Disorders - surgery
Humans
Life Sciences
Madelung
Orthopedics
Osteochondrodysplasias - pathology
Osteochondrodysplasias - physiopathology
Osteochondrodysplasias - surgery
Osteotomy - methods
Radius
Radius - surgery
Range of Motion, Articular
Recovery of Function
Surgery
Treatment Outcome
Wedge osteotomy
Wrist Joint - pathology
Wrist Joint - physiopathology
Young Adult
title Reverse wedge osteotomy of the distal radius in Madelung's deformity
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