Artikel
Madelung’s deformity – long-term results of ulnopalmar correction osteotomies in 12 wrists
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Autoren
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Martin Franz Langer
- Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany
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Britta Wieskoetter
- Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Sektion Hand, Münster, Germany
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Simon Oeckenpöhler
- Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
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Sarah Breiter
- Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
| Veröffentlicht: | 6. Februar 2020 |
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Gliederung
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Objectives/Interrogation: Do the corrective osteotomies in the case of Madelung deformity have good successes over the long term and are therefore justified?
To date, we have performed 32 corrective osteotomies on Madelung deformities. To clarify this question, we reviewed 12 corrective osteotomies for Madelung deformity, which we operated in our own new technique between 1998 and 2008 for adolescents between 12 and 16 years, after at least 10 years.
The surgical technique we used consisted of a palmar correction osteotomy, an ulnopalmar extension of the radius, and an angle-stable plate osteosynthesis.
Methods: 1 boy with unilateral correction, 3 girl with unilateral correction and 4 girl with bilateral correction were followed up after at least 10 years. It examined subjective complaints, wrist mobility, pro- and supination, forearm length, and cosmetic outcome. Mayo wrist score and DASH-score.
Results and Conclusions: Although corrective osteotomy can never achieve complete anatomical reconstruction, many biomechanical values have improved.
Pro-and supination and wrist mobility are still better than pre-operative even after 10 years. Discomfort in the ulnar area of the wrist are not or only slightly present. All patinets are very satisfied with the cosmetic result.
DASH and Mayo-wrist score are still under evaluation.
According to the preliminary results, the correction osteotomies are a very useful operation compared to the same age non-operated patients.
