medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2000, Number 5

<< Back Next >>

Acta Ortop Mex 2000; 14 (5)

Treatment of Madelung's deformity produced by fractures and osteomyelitis. A study of seven cases

Garza-Alatorre F, Nualart L, Capdevila R

Language: Spanish
References: 8
Page: 424-428
PDF size: 62.51 Kb.


ABSTRACT

We studied seven patients with Madelung deformity secondary to osteomyelitis in 5 cases and fracture in 2 cases, with an average age of 11 years and a follow up of 13 months in average. Deformity of the forearm, as well as pain and impairment in function of the wrist joint were the reasons for surgery as follow: 2 distal alignment osteotomy of the radius fixed by Steinmann pins and ulnar shortening, one distal ulnar shortening alone, one non-union bone plasty by removing fibrous tissue and grafting with screw plating, 3 lengthening distal osteotomy of the radius by diverse external fixators. Results were satisfactory in 6 out of the 7 cases, improving functionality and anatomy without pain. One case who was treated by monotube external fixator developed pseudoarthrosis in the lengthening gap. Reoperation consisted in bone plasty by grafting. All 7 patients are, at this time, satisfied with the results. It is important to mention that even though there are several surgical procedures for treatment of this deformity, those employed for this study were a good option for the patient.


REFERENCES

  1. Canale ST: Campbell’s Operative Orthopaedics. 9th ed. St. Louis: Mosby, 1998; 4: 3816-7.

  2. Dos Reis FB et al: Osteotomy of the radius and ulna for Madelung deformity. JBJS (Br) 1998; 80B: 817-24.

  3. Goncalves D: Correction of disorders of the distal radio-ulnar joint by artificial pseudoarthrosis of the ulna. JBJS 1974; 56B: 462-4.

  4. Morrissy RT, Weinstein SL: Lovell and Winter’s pediatric orthopaedics. 4th ed. Philadelphia: Lippincott-Raven, 1996; 2: 825-6.

  5. Murphy MS et al: Radial opening wedge osteotomy in Madelung deformity. J Hand Surg 1996; 21A: 1035-44.

  6. Sharrad WJW: Pediatric orthopaedics and fractures. 3rd ed. London: Blackwell Scientific Publications, 1993; 1: 278-81.

  7. Vickers D, Nielsen G: Madelung deformity: Surgical prophylaxis (physiolysis) during the late growth period by resection of the dischondrosteosis lesion. J Hand Surg 1992; 17B: 401-7.

  8. Watson HK, Pitts EC, Herber S: Madelung’s deformity. J Hand Surg 1993; 18B: 601-5.




2020     |     www.medigraphic.com