Goehtz F, Mühldorfer-Fodor M, Prommersberger K-J, van Schoonhoven J
Klinik für Handchirurgie, Rhön-Klinikum, Bad Neustadt a. d. Saale.
Handchir Mikrochir Plast Chir. 2015 Oct;47(5):312-5. doi: 10.1055/s-0035-1559726. Epub 2015 Sep 7.
We report the case of 35-year-old woman with severe Madelung's deformity. Having undergone a Kapandji-Sauvé-procedure with wide excision of the distal ulna, the patient suffered from painful instability of the ulnar stump. Although a corrective osteotomy of the distal radius had been performed, severe ulnar inclination of the distal radius remained, leaving persisting pain. Implantation of a constrained distal radioulnar joint prosthesis combined with a renewed extraarticular corrective osteotomy of the distal radius was performed. The peg of the radial plate of the prosthesis was placed in the screw hole of the large-fragment lag screw removed after the Kapandji-Sauvé-procedure.
我们报告了一例35岁患有严重马德隆畸形的女性病例。该患者接受了尺骨远端广泛切除的卡潘迪-索韦手术，术后尺骨残端出现疼痛性不稳定。尽管已经对桡骨远端进行了矫正截骨术，但桡骨远端仍存在严重的尺侧倾斜，疼痛持续存在。遂进行了受限型桡尺远侧关节假体植入，并再次对桡骨远端进行关节外矫正截骨术。假体桡骨板的栓子置于卡潘迪-索韦手术后取出的大骨折块拉力螺钉的螺孔中。
