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Volar ligament release, osteotomy maintains Madelung deformity correction at long-term follow-up
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Patients with Madelung deformity who were treated with volar ligament release and distal radial dome osteotomy maintained their original radiographic correction at average 11-year follow-up, according to results of this study.
“At the time of short-term follow-up, the procedure provided good correction of the deformity with resolution of pain and improved wrist motion,” Suzanne Steinman, MD, and colleagues wrote in the study. “In the present study, we showed that, at the time of the long-term follow-up, the deformity had not recurred and improvements in motion were maintained.”
Steinman and colleagues analyzed 18 patients (26 wrists) who underwent volar ligament release and distal radial dome osteotomy, according to the abstract. At an average 11-year follow-up, the researchers saw no change in radial inclination and wrist motion compared to immediately after surgery.
The researchers also noted a positive correlation between increased DASH score and arthritis grade as well as a correlation between whole bone deformity, increased arthritis grade and increased DASH score, according to the abstract. Additionally, there was also a positive correlation between the severity of correction based on preoperative deformity and arthritis grade.
Disclosure: The authors have no relevant financial disclosures.
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