Corrective osteotomy and local bone grafting for extra-articular malunion of the proximal phalanx.
Corrective osteotomies are often utilised to treat finger deformities that may occur due to a phalangeal malunion. Rotational or angular malalignment, in addition to shortening of the digit may negatively affect hand function and be aesthetically displeasing. Thorough preoperative examination of the malunion and its associated deformities is crucial in determining the type of osteotomy technique to be used. Osteotomies can create bony defects that need to be filled with bone graft or some type of graft substitute. We describe an opening wedge osteotomy with local cancellous bone graft combined with dual plating to treat a dorsal angular deformity in a proximal phalangeal malunion.
Department of Orthopaedics, Division of Hand Surgery, New York University, Hospital for Joint Diseases, New York, NY 10003, USA. njhanddoc@yahoo.com
John T
JT
Capo
Ben
B
Shamian
Philip K
PK
Lim
D016025:Bone Transplantation / Q000379:methods*; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D014057:Tomography, X-Ray Computed