Long-term follow-up of surgical correction of Madelung's deformity with conservation of the distal radioulnar joint in teenagers |
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Authors: | Salon A Serra M Pouliquen J C |
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Institution: | Pediatric Orthopaedic Department, René Descartes Paris V University, H?pital Necker-Enfants Malaldes, France. |
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Abstract: | Eleven wrists with painful Madelung deformity in seven patients were corrected during adolescence by a closing wedge osteotomy of the radius and a shortening osteotomy of the ulna, with conservation of the distal radioulnar joint. At late follow-up (9.7 years) function was considerably improved. When the ulnar head was correctly relocated during operation, a new distal radioulnar space developed. Shortening of the ulna must be generous and combined with slight flexion at the osteotomy. |
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