Trapezoid rotational bone graft osteotomy for metacarpal and phalangeal fracture malunion

Metacarpal and phalangeal fracture malunions with significant angulation deformity are associated with bone shortening, prominence of the metacarpal head in the palm or pseudoclaw deformity and may be symptomatic. If so, they may need corrective osteotomy procedures. Conventional methods of closing,...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2007-06, Vol.32 (3), p.282-288
Main Authors: Yong, F.C., Tan, S.H., Tow, B.P.B., Teoh, L.C.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bone Transplantation
Finger Joint - physiopathology
Finger Phalanges - injuries
Fractures, Malunited - physiopathology
Fractures, Malunited - surgery
Hand Strength
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Metacarpal Bones - injuries
metacarpal phalangeal malunion
Middle Aged
Orthopedic surgery
Osteotomy - methods
Range of Motion, Articular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Transplantation, Autologous
trapezoid osteotomy
Traumas. Diseases due to physical agents
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Metacarpal and phalangeal fracture malunions with significant angulation deformity are associated with bone shortening, prominence of the metacarpal head in the palm or pseudoclaw deformity and may be symptomatic. If so, they may need corrective osteotomy procedures. Conventional methods of closing, or opening, wedge osteotomy do not restore the length of the bone exactly. Simultaneous correction of the angular deformity and restoration of bone length can be addressed by a trapezoid rotational bone graft osteotomy. A double osteotomy is done and the segment of bone is rotated and re-inserted as a bone graft. This was done successfully in four metacarpal and two phalangeal fracture malunions with angulation deformities.
ISSN:1753-1934
2043-6289
DOI:10.1016/j.jhsb.2007.01.005