Modified dual osteotomy for Madelung’s deformity
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20230476Keywords:
Madelung’s deformity, Congenital hand deformity, Osteotomy, Newer modalityAbstract
Madelung’s deformity is one of the rare congenital deformities of the forearm and wrist, typically seen as positive ulnar variance and increased volar tilt due to the “Vickers” ligament. Different corrective surgical methods for this have been done in the literature. In this case of a 9-year-old Madelung’s like deformity, we have performed a modified dual osteotomy with periosteal preservation allowing natural articulation and bone to be modified, especially in a younger child. This article gives the surgical option to orthopedics for the future, especially in a younger child with severe deformity. This is a level V evidence-based therapeutic study.
References
Henry A, Thorburn MJ. Madelung's deformity: a clinical and cytogenetic study. J Bone Joint Surg. 1967;49(1):66-73.
Wood VE, Flatt AE. Congenital triangular bones in the hand. J Hand Surg. 1977;2(3):179-93.
Houshian S, Schrøder H, Weeth R. Correction of Madelung’s deformity by the Ilizarov technique. J Bone Joint Surg. 2004;86(4):536-40.
Laffosse JM, Abid A, Accadbled F, Knör G, Sales de Gauzy J, Cahuzac JP. Surgical correction of Madelung’s deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up. Int Orthop. 2009;33(6):1655-61.
Angelini LC, Leite VM, Faloppa F. Surgical treatment of Madelung disease by the Sauvé-Kapandji technique. In Annales de Chirurgie de la Main et du Membre Supérieur. 1996;15(4):257-64.
Aharoni C, Glard Y, Launay F, Gay A, Legré R. Maladie de Madelung: ostéotomie isolée de l'ulna. Chirurgie de la main. 2006;25(6):309-14.
Glard Y, Gay A, Launay F, Guinard D, Legré R. Isolated wedge osteotomy of the ulna for mild Madelung’s deformity. Journal of hand surgery, 2007;32(7):1037-42.
Zebala LP, Manske PR, Goldfarb CA. Madelung’s deformity: a spectrum of presentation. J Hand Surg. 2007;32(9):1393-401.
Steinman S, Oishi S, Mills J, Bush P, Wheeler L, Ezaki M. Volar ligament release and distal radial dome osteotomy for the correction of Madelung deformity: long-term follow-up. JBJS. 2013;95(13):1198-204.
Salon A, Serra M, Pouliquen JC. Long-term follow-up of surgical correction of Madelung's deformity with conservation of the distal radioulnar joint in teenagers. J Hand Surg Bri Euro. 2000;25(1):22-5.
