The Wiki says just sneak up behind him to kill him and not alert the others, then take his key and escape. HOWEVER - even though I am level 50, I am an archer and apparently my skills with the shiv and pickax svck, because I can't even come close to killing him. He gets me close to dead, hits me with some frost bolt, etc. and kills me pretty easily every time. I even tried to freeze him with a shout - I can, but as soon as I attack him he breaks out of the freeze and then kills me (and the shout often attracts the other prisoners.)
Is there some trick to killing Madanach if you don't have good one handed weapon skills?