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首页> 外文期刊>Open Journal of Urology >Langenski?ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae
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Langenski?ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

机译：马德隆畸形的Langenski？ld手术：后遗症案例系列

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Background: Although many authors advise to postpone surgical intervention until skeletal maturity is reached, the Langenski?ld procedure—entailing physiolysis and the release of Vickers’ ligament—is a known procedure in case of Madelung’s deformity in children. Although advised in textbooks and recent reviews, the results and late sequelae of this procedure have been poorly documented. The aim of this study is to portray the late effects of this procedure for three patients and emphasize a very careful patient selection. Methods: A retrospective study was performed of the medical records of three patients who underwent a Langenski?ld procedure with release of Vickers’ ligament for Madelung’s deformity of the wrist. They were recalled for function evaluation and their results are presented in the current study. Results: We report the long term results of three patients (five wrists) who underwent a Langenski?ld procedure with release of Vickers’ ligament in detail. Mean follow-up was twelve years (range: 11 - 14 years). In all of the operated wrists severe pain recurred due to destruction of the distal radio-ulnar joint. Further salvaging surgeries were necessary, some with highly dissatisfying results. Conclusions: Based on our experience we advise not to perform this procedure until further studies have proven its effectiveness and clear indications. Other techniques are available for later correction of Madelung’s deformity, with similar results on pain relief, wrist function and cosmetics. However, we will advocate conservative treatment until skeletal maturity is reached.
机译：背景：尽管许多作者建议将手术干预推迟到骨骼成熟，但是在儿童发生玛德隆畸形的情况下，朗格斯基尔德手术（需要进行物理分解和维氏韧带释放）是众所周知的手术。尽管在教科书和最近的评论中有所建议，但该过程的结果和后遗症的文献报道很少。这项研究的目的是描绘该手术对三名患者的后期效果，并强调非常谨慎的患者选择。方法：回顾性研究了三名患者的病历，这些患者接受了Langenskild手术，并因马德隆手腕畸形而接受了维氏韧带的释放。他们被召回进行功能评估，其结果在本研究中介绍。结果：我们报告了三名接受朗格斯基手术并释放维氏韧带的患者（五个手腕）的长期结果。平均随访时间为十二年（范围：11-14年）。在所有操作过的手腕中，由于远端radio尺关节的破坏而引起了剧烈疼痛。必须进行进一步的抢救手术，其中一些手术的结果令人非常不满意。结论：根据我们的经验，我们建议您在进一步研究证明其有效性和明确适应症之前不要执行此程序。其他技术也可用于以后矫正Madelung的畸形，在缓解疼痛，腕部功能和美容方面也有类似的结果。但是，我们将提倡保守治疗，直到达到骨骼成熟。

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