Madelung's deformity - Surgical correction through the anterior approach

A resurgence of interest in Madelung's deformity has developed recently bec ause of improved operations for correction of the deformity, identification of the genetic loci for the condition in certain syndromal variants, ident ification of an anterior ligamentous structure tethering the carpus, and pr eventive treatments in growing children. The process is reviewed in this ar ticle and a new surgical technique is presented. The procedure is performed by way of an anterior incision that is more cosmetically appealing. The re lease of an anterior ligamentous structure described by Vickers is performe d simultaneously with a dome shaped osteotomy of the radius. The fragments, once alignment is corrected, are stabilized with temporary pin fixation an d a long arm cast until the bone has healed.