Bilateral Madelung Wrist Deformity in a 13-Year-Old Girl: Surgical Correction With the Taylor Spatial Frame External Fixation System

Abstract

Madelung deformity is a complex malformation of the wrist, due to growth disturbance in the volar and ulnar part of the distal radial physis. We report a bilateral idiopathic Madelung wrist deformity, in a 13-year-old girl, corrected surgically with the Taylor spatial frame external fixation system plus osteotomy. The Taylor spatial frame,a hexapod system of external fixation, has the ability, by distraction histogenesis, to simultaneously correct all components of this multiplanar three-dimensional wrist deformity, restoring gradually the distal radius morphology and radiocarpal alignment. Furthermore, the hexapod system, assisted with a web-based software program, allowed for, any time during the correction procedure, all proper modifications of the prescription needed, for the deformity correction. With this surgical technique, we achieved a full correction of the bilateral Madelung deformity and restored good function.

Surgical treatment of a neglected neonatal compartment syndrome of the forearm

“…The TSF system allows the simultaneous correction of all components of a multiplanar limb malformation, thus minimizing the time required for deformity correction. 21,22 Patients with neglected neonatal compartment syndrome who show up for treatment later in childhood may require multiple step-by-step procedures to restore the functionality of extrinsic muscles by tendon transfer and to repair skeletal growth disorders and angular deformities of the forearm. Treatment of neglected neonatal compartment syndrome is challenging and has a high complication rate.…”

Reverse wedge osteotomy for Madelung’s deformity in a high school student: A case report

“…Furthermore, Megremis et al reported good performance of corrective surgery using the Taylor spatial frame external fixation system for a 13-year-old girl with bilateral Madelung deformity. 15 This hexapod system, which is supported with web-based software programs, enables for the simultaneous correction of all components of multiplanar limb malformation with minimization of the time required for deformity correction compared with the conventional Ilizarov technique. However, it might be complicated if a surgeon were not accustomed to the conventional Ilizarov technique.…”

Radial Osteotomy With Callus Distraction for the Correction of Severe Madelung Deformity

“…More sophisticated techniques, such as computer simulation or the usage of a Taylor frame, have been reported to correct complicated 3-dimensional deformities. [7][8][9] Although radiographic improvement might be superior to that observed with traditional osteotomies, the clinical superiority has not been clearly demonstrated. A Taylor frame might disturb not only pronation and supination of forearm but also daily use of operated hand while correcting deformity.…”

“…Consequently, various surgical interventions, such as corrective osteotomy, Vickers ligament release, and ulnar shortening, have been attempted. [1][2][3][4][5][6][7][8][9] However, all these procedures can only reduce the severity of the deformity and pain without preventing the development of physeal disorders. Herein, we report a case of an adolescent patient with severe forearm deformity in whom we performed callus distraction with corrective osteotomy.…”