Translocation of the fifth finger by intracarpal osteotomy.
We present an original technique of transposition of the fifth ray by intracarpal osteotomy. After a review of various techniques and their disadvantages, the principles of the procedure are described. It includes a resection of the whole fourth ray and translocation of the fifth ray following a wedge-shaped osteotomy of the lateral aspect of the hamate, and an arthrodesis between the capitate and the hamate. The details of this operation are presented. Seventeen cases are reported with a follow-up ranging from 17 months to 34 months, and the results are analyzed.
Le Viet
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Hôpital Boucicaut, Paris, France.
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D002348:Carpal Bones / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D005385:Fingers / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*