Osteotomy of the radius and ulna for the Madelung deformity

Detalhes bibliográficos
Autor(a) principal: Reis, Fernando Baldy dos [UNIFESP]
Data de Publicação: 1998
Outros Autores: Katchburian, M. V. [UNIFESP], Faloppa, Flávio [UNIFESP], Albertoni, Walter Manna [UNIFESP], Laredo Filho, José [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://repositorio.unifesp.br/handle/11600/25942
http://dx.doi.org/10.1302/0301-620X.80B5.8691
Resumo: The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain, in this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna.Our results show statistically significant improvement in grip strength and range of movement of the wrist and forearm. Pain improved in 80% of the patients and 88% were satisfied with the appearance. One patient had a wound infection and another developed reflex sympathetic dystrophy, Two had some recurrence due to continued growth of the ulna and it is recommended that the procedure be delayed until skeletal maturity, or else combined with epiphysiodesis of the ulna.
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spelling Reis, Fernando Baldy dos [UNIFESP]Katchburian, M. V. [UNIFESP]Faloppa, Flávio [UNIFESP]Albertoni, Walter Manna [UNIFESP]Laredo Filho, José [UNIFESP]St Thomas HospUniversidade Federal de São Paulo (UNIFESP)2016-01-24T12:30:38Z2016-01-24T12:30:38Z1998-09-01Journal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 80B, n. 5, p. 817-824, 1998.0301-620Xhttp://repositorio.unifesp.br/handle/11600/25942http://dx.doi.org/10.1302/0301-620X.80B5.869110.1302/0301-620X.80B5.8691WOS:000077389000015The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain, in this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna.Our results show statistically significant improvement in grip strength and range of movement of the wrist and forearm. Pain improved in 80% of the patients and 88% were satisfied with the appearance. One patient had a wound infection and another developed reflex sympathetic dystrophy, Two had some recurrence due to continued growth of the ulna and it is recommended that the procedure be delayed until skeletal maturity, or else combined with epiphysiodesis of the ulna.St Thomas Hosp, London SE1 7E4, EnglandUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Orthopaed & Traumatol, São Paulo, BrazilWeb of Science817-824engBritish Editorial Soc Bone Joint SurgeryJournal of Bone and Joint Surgery-british VolumeOsteotomy of the radius and ulna for the Madelung deformityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/259422022-06-02 10:26:54.965metadata only accessoai:repositorio.unifesp.br:11600/25942Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-06-02T13:26:54Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.en.fl_str_mv Osteotomy of the radius and ulna for the Madelung deformity
title Osteotomy of the radius and ulna for the Madelung deformity
spellingShingle Osteotomy of the radius and ulna for the Madelung deformity
Reis, Fernando Baldy dos [UNIFESP]
title_short Osteotomy of the radius and ulna for the Madelung deformity
title_full Osteotomy of the radius and ulna for the Madelung deformity
title_fullStr Osteotomy of the radius and ulna for the Madelung deformity
title_full_unstemmed Osteotomy of the radius and ulna for the Madelung deformity
title_sort Osteotomy of the radius and ulna for the Madelung deformity
author Reis, Fernando Baldy dos [UNIFESP]
author_facet Reis, Fernando Baldy dos [UNIFESP]
Katchburian, M. V. [UNIFESP]
Faloppa, Flávio [UNIFESP]
Albertoni, Walter Manna [UNIFESP]
Laredo Filho, José [UNIFESP]
author_role author
author2 Katchburian, M. V. [UNIFESP]
Faloppa, Flávio [UNIFESP]
Albertoni, Walter Manna [UNIFESP]
Laredo Filho, José [UNIFESP]
author2_role author
author
author
author
dc.contributor.institution.none.fl_str_mv St Thomas Hosp
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Reis, Fernando Baldy dos [UNIFESP]
Katchburian, M. V. [UNIFESP]
Faloppa, Flávio [UNIFESP]
Albertoni, Walter Manna [UNIFESP]
Laredo Filho, José [UNIFESP]
description The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain, in this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna.Our results show statistically significant improvement in grip strength and range of movement of the wrist and forearm. Pain improved in 80% of the patients and 88% were satisfied with the appearance. One patient had a wound infection and another developed reflex sympathetic dystrophy, Two had some recurrence due to continued growth of the ulna and it is recommended that the procedure be delayed until skeletal maturity, or else combined with epiphysiodesis of the ulna.
publishDate 1998
dc.date.issued.fl_str_mv 1998-09-01
dc.date.accessioned.fl_str_mv 2016-01-24T12:30:38Z
dc.date.available.fl_str_mv 2016-01-24T12:30:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv Journal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 80B, n. 5, p. 817-824, 1998.
dc.identifier.uri.fl_str_mv http://repositorio.unifesp.br/handle/11600/25942
http://dx.doi.org/10.1302/0301-620X.80B5.8691
dc.identifier.issn.none.fl_str_mv 0301-620X
dc.identifier.doi.none.fl_str_mv 10.1302/0301-620X.80B5.8691
dc.identifier.wos.none.fl_str_mv WOS:000077389000015
identifier_str_mv Journal of Bone and Joint Surgery-british Volume. London: British Editorial Soc Bone Joint Surgery, v. 80B, n. 5, p. 817-824, 1998.
0301-620X
10.1302/0301-620X.80B5.8691
WOS:000077389000015
url http://repositorio.unifesp.br/handle/11600/25942
http://dx.doi.org/10.1302/0301-620X.80B5.8691
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.none.fl_str_mv Journal of Bone and Joint Surgery-british Volume
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 817-824
dc.publisher.none.fl_str_mv British Editorial Soc Bone Joint Surgery
publisher.none.fl_str_mv British Editorial Soc Bone Joint Surgery
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv
_version_ 1802764142117912576

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