Yosuke Isoyama, Sayaka Nose-Ogura, Mariko Jana Ijitsu, João Gabriel Segato Kruse, Narumi Nagai, Momoko Kayaba, Hitomi Ogata, Madhur Mangalam, Ken Kiyono
Age- and height-dependent bias of underweight and overweight assessment standards for children and adolescents
Frontiers in public health
background distal radius realignment procedures dome osteotomy shown reliably correct geometry threedimensional deformity however clarified whether correction durable time thus reviewed prospective madelungs database evaluated patients received radius dome osteotomy see whether loss correction time patients methods total 16 patients 19 operated wrists included mean age surgery 14 years recent radiograph considered analysis obtained mean 20 months index surgery three established radiographic deformity parameters ulnar tilt lunate subsidence palmar carpal displacement repetitively measured independent observer course postoperative followup compared using analysis variance statistics results mild nonsignificant worsening deformity parameters observed six patients 32 overall ulnar tilt improved 50 40 degrees surgery 43 degrees latest followup values lunate subsidence 55 0 16 mm respectively palmar carpal displacement recur correction 21 17 16 mm respectively conclusions frontal plane parameters remodeled certain degree although statistically significant manner soon corrective osteotomies madelungs deformity although mild surgical overcorrection may warranted younger patients remains unclear concomitant distal radial epiphysiodesis would generally beneficial level evidence level iv