{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:10:12Z","timestamp":1774512612452,"version":"3.50.1"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Madelung deformity is a rare developmental wrist abnormality that often leads to joint pain and limited mobility. Traditional surgical methods typically struggle to simultaneously correct the abnormal bone angle and the associated bone shortening. This study assesses the efficacy and safety of the Ilizarov progressive three-dimensional orthopedic technique in treating Madelung deformity in patients aged 12 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of data from 19 patients aged 12 years or older with Madelung deformity who were treated with the Ilizarov technique between 2020 and 2024. This single-center study was a retrospective case series (Level IV evidence). During the surgery, we executed an osteotomy on the radius and installed an adjustable external fixator. Postoperatively, we made gradual adjustments to correct the wrist deformity angle and simultaneously lengthen the bone. We evaluated surgical outcomes with imaging measurements and functional scores and recorded all complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study observed a significant improvement in both the angular deformity of the wrist and bone length among all patients. Additionally, there was a notable increase in the range of motion in the wrist joint and hand grip strength. Postoperative functional scores were excellent or good in 89.5% of cases. Only a few patients experienced mild pin tract infections, and no serious complications were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Ilizarov technique successfully corrected angular and length abnormalities associated with Madelung deformity, significantly enhancing wrist function. It proved to be safe and can be recommended as a treatment option for individuals with moderate to severe deformity, particularly those with closing or closed physes. Further long-term follow-up studies are needed to confirm its lasting effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1767337","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:36:57Z","timestamp":1774507017000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Three-dimensional progressive correction of Madelung deformity using the Ilizarov technique in patients aged \u226512 years: a retrospective study"],"prefix":"10.3389","volume":"14","author":[{"given":"Xinjian","family":"Pei","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaixuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Beijing Jishuitan Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaofei","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yadong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"B1","first-page":"4416","article-title":"Advances in diagnosis and treatment of adelung\u2019s deformity","volume":"15","author":"Dang","year":"2023","journal-title":"Am J Transl Res"},{"key":"B2","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1055\/s-0039-1685488","article-title":"Madelung\u2019s deformity of the wrist-current concepts and future directions","volume":"8","author":"Babu","year":"2019","journal-title":"J Wrist Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/j.hansur.2022.02.004","article-title":"Simultaneous three-dimensional correction of percutaneous radial osteotomy with circular external fixator in Madelung's deformity","volume":"41","author":"Baydar","year":"2022","journal-title":"Hand Surg Rehabil"},{"key":"B4","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1007\/s11596-024-2905-z","article-title":"Role of vickers ligament in the pathogenesis of Madelung deformity","volume":"44","author":"Xiong","year":"2024","journal-title":"Curr Med 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for the correction of Madelung deformity: long-term follow-up","volume":"95","author":"Steinman","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"B9","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1097\/BPO.0000000000003143","article-title":"Treatment decision-making in Madelung deformity: a retrospective review of 74 wrists","volume":"46","author":"Mart\u00ednez-\u00c1lvarez","year":"2026","journal-title":"J Pediatr Orthop"},{"key":"B10","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1177\/1071100713475612","article-title":"Ilizarov external frame technique for pirogoff amputations with ankle disarticulation and tibiocalcaneal fusion","volume":"34","author":"Gessmann","year":"2013","journal-title":"Foot Ankle Int"},{"key":"B11","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1097\/SAP.0000000000000479","article-title":"One-stage reconstruction of complex lower extremity deformity combining Ilizarov external fixation and sural neurocutaneous flap","volume":"74","author":"Zhong","year":"2015","journal-title":"Ann Plast Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1016\/j.jos.2020.02.018","article-title":"Effectiveness of Ilizarov external fixation in elderly patients with pilon fractures","volume":"26","author":"Nozaka","year":"2021","journal-title":"J Orthop Sci"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1142\/S2424835522720559","article-title":"Dual corrective osteotomy of the radius and Ulna for mature Madelung deformity using CT-based 3D simulation: a case report","volume":"27","author":"Kodama","year":"2022","journal-title":"J Hand Surg Asian Pac"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1843","DOI":"10.1007\/s11548-024-03110-5","article-title":"Deep-learning based 3D reconstruction of lower limb bones from biplanar radiographs for preoperative osteotomy planning","volume":"19","author":"Arn Roth","year":"2024","journal-title":"Int J Comput Assist Radiol Surg"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1767337\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:36:58Z","timestamp":1774507018000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1767337\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,26]]},"references-count":14,"alternative-id":["10.3389\/fped.2026.1767337"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1767337","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,26]]},"article-number":"1767337"}}