Surgical correction for post-traumatic Madelung deformity complicated with dorsal or volar angulation in the adults
10.3760/cma.j.issn.1001-8050.2009.09.264
- VernacularTitle:成人创伤性Madelung样畸形合并掌、背侧成角的外科矫治
- Author:
Yingsheng DENG
;
Hongyi DENG
;
Dayong LIU
;
Qiulin ZHANG
;
Fang JI
;
Hao TANG
;
Qiugen WANG
- Publication Type:Journal Article
- Keywords:
Radius fractures;
Deformities;
Fracture fixation;
internal;
External fixators
- From:
Chinese Journal of Trauma
2009;25(9):834-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore surgical methods and their efficacy for post-traumatic Made-lung deformity complicated with dorsal or volar angulation in the adults. Methods Volar plate or exter-nal fixator, combined with the techniques osteotomy and bone grafting, were selected to treat adult pa-tients with post-traumatic Madelung deformity complicated with dorsal or volar angulation. The effects were preliminarily evaluated through comparing the volar tilting angle, ulnar inclination, radial shortening and the range of joint motion before and after the operation. Results All the patients were followed up for 6-27 months (mean 16 months). The volar tilting angle, radial inclination, radial shortening, range of joint motion of all patients were improved significantly (P<0.05). Conclusions For patients with Madelung deformity complicated with dorsal angulation, internal fixation of volar plate combined with volar osteotomy and bone grafting is recommended; while dynamic eternal fixator combined with combined with dorsal osteotomy and bone grafting is an ideal choice for patients with Madelung deformity complicated with volar angulation.
