Baltalimani Bone Diseases Training and Research Hospital, Department of Hand Surgery, University of Health Sciences Turkey, Baltalimani Hisar Caddesi No:58/2, 34470 Sariyer/Istanbul, Turkey.
Baltalimani Bone Diseases Training and Research Hospital, Department of Orthopaedics and Traumatology, Baltalimani Hisar Caddesi No:58/2, 34470 Sariyer/Istanbul, Turkey.
Hand Surg Rehabil. 2022 Jun;41(3):317-323. doi: 10.1016/j.hansur.2022.02.004. Epub 2022 Mar 4.
Partial deficiency of distal radial and volar cartilage plate growth is the main pathology in Madelung's deformity. Surgical treatment can use a Taylor Spatial Frame (TSF) external fixator, which provides simultaneous multiplanar correction and lengthening after radial osteotomy, sparing Vickers' ligament and the ulna. We sought to evaluate the radiological and functional results of Madelung's deformity correction by TSF, by retrospectively analyzing eight Madelung's deformities in seven patients between August 2011 and May 2015. Mean age was 14.8 years (range, 11-26), and mean follow-up 35.1 months (24-78). We evaluated demographic data and pre- and post-operative radiological and functional results. Mean preoperative visual analog pain scale score improved from 7.7 to 1.6. Mean preoperative DASH score improved from 19.1 (9.5-46.6) to 3.7 (2.3-6.8). Mean preoperative radial length improved from 184 mm (138-209) to 196 mm (142-213). We think that software-based correction using a TSF is a safe solution in Madelung's deformity, with minimal margin of error and risk of postoperative stiffness and infection. LEVEL OF EVIDENCE: IV.
桡骨远端和掌侧软骨板生长部分缺失是马德隆畸形的主要病理学特征。外科治疗可以使用泰勒空间框架（TSF）外固定器，它可以在桡骨切开术后提供同时的多平面矫正和延长，同时保留维克斯韧带和尺骨。我们回顾性分析了 2011 年 8 月至 2015 年 5 月期间 7 名患者的 8 例马德隆畸形，旨在评估 TSF 矫正马德隆畸形的放射学和功能结果。平均年龄为 14.8 岁（范围 11-26 岁），平均随访 35.1 个月（24-78 个月）。我们评估了人口统计学数据以及术前和术后的放射学和功能结果。术前视觉模拟疼痛量表评分从 7.7 分改善至 1.6 分。术前 DASH 评分从 19.1（9.5-46.6）分改善至 3.7（2.3-6.8）分。术前桡骨长度从 184mm（138-209mm）改善至 196mm（142-213mm）。我们认为，使用 TSF 进行基于软件的校正，是一种安全的马德隆畸形解决方案，其错误空间最小，术后僵硬和感染的风险也最小。证据等级：IV。
