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首页> 外文期刊>Revista Cubana de Ortopedia y Traumatología >Madelung’s deformity, apropos of a case series
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Madelung’s deformity, apropos of a case series

机译：玛德隆的畸形，一系列病例

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Introduction: Madelung deformity is due to a growth disturbance of distal radius physis. It can cause pain and loss of function. Objectives: to review the current status of this disease and the results of a series of patients who received surgical treatment. Methods: this is a case series of patients (12 patients) collected from 2005 to 2012, which were treated in hand surgery consultation. Radio osteotomy plate or guardian ulna osteotomy (shortening and angular correction) and distal resection of the ulna (Darrach) were the surgical procedures used. Mobility variables, radiology, and surgery satisfaction were studied. Ulnar inclination and the lunate tilt radiological data were analyzed; also a qualitative analysis of the correction of the ulna was conducted. Results: in the 8 patients operated (11 wrists: 9 angle correction by osteotomy of the radius, and 2 with tutor), the aesthetic results were good. In terms of function, all mobility parameters improved. In the 7 cases of wrist where Darrach was performed, the dorsal aspect of the wrist improved. After a short time, no ulnar translation of the carpus was observed. The radiographic appearance markedly improved: the ulnar inclination changed from preoperative 37º to postoperative 28º and the lunate fossa angle changed from 55° to 36°, respectively. Conclusions: the smallness of the series and the short follow-up time is a limitation of this study, although it is shown that with the right combination of some surgical techniques aesthetic and functional improvements in Madelung deformity can be achieved.
机译：简介：马德隆畸形是由于radius骨远端的生长受到干扰。它会引起疼痛和功能丧失。目的：回顾该病的现状以及接受手术治疗的一系列患者的结果。方法：这是2005年至2012年收集的一组病例患者（12例患者），均接受了手外科会诊。放射线截骨板或保护性尺骨截骨术（缩短和矫正角）和尺骨远端切除术（Darrach）是所用的手术方法。研究了流动性变量，放射学和手术满意度。分析尺骨倾角和月经倾斜影像学资料。还进行了尺骨矫正的定性分析。结果：在8例手术患者中（11个腕部：通过osteo骨截骨术矫正了9个角度，并有2个带导师进行了矫正），美学效果良好。在功能方面，所有移动性参数均得到改善。在进行Darrach手术的7例手腕病例中，手腕的背部改善了。短时间后，未观察到尺骨尺骨翻译。射线照相的外观明显改善：尺骨倾角从术前37º改变为术后28º，月牙窝角从55°改变为36°。结论：该系列病例的小和随访时间短是该研究的局限性，尽管已表明，通过正确组合某些外科手术技术，可以实现马德隆畸形的美学和功能改善。

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