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目的探讨桡骨杵臼截骨及尺骨头复位治疗MadeLung畸形的初步疗效。方法2002～2006年间应用桡骨远端杵臼截骨及尺骨头复位治疗MadeLung畸形4例,均为女性,左侧1例,右侧1例,双侧2例。术前腕关节疼痛,X线片显示桡骨远端关节面向掌侧倾斜75°～85°(平均80°)。手术年龄12～13岁(平均12.5岁)。结果术后随诊1～4年(平均2年),腕关节疼痛全部消失,腕关节外观及活动均得到改善。1例出现尺骨截骨部位延期愈合。结论桡骨杵臼截骨及尺骨头复位是治疗MadeLung畸形的有效方法之一。
Objective To investigate the initial effect of radioulllotomy osteotomy and ulnar head reduction on MadeLong deformity. Methods Between April 2002 and 2006, 4 cases of MadeLung malformations were treated by the use of distal radius mortar osteotomy and ulnar head reduction. All of them were female. There were 1 case on the left, 1 case on the right and 2 cases on both sides. Preoperative wrist pain, radiographs show that the distal radius of the radius of the palm is inclined 75 ° ~ 85 ° (average 80 °). The operative age ranged from 12 to 13 years (average 12.5 years). Results The patients were followed up for 1 to 4 years (average 2 years). The pain in the wrist disappeared completely and the appearance and activities of the wrist were improved. One case of ulna osteotomy site delayed healing. Conclusion Radial acetabular osteotomy and ulnar head reduction is one of the effective ways to treat MadeLung deformity.