Posttraumatic deformity of a tubular bone in the hand after malunion can impact function
due to alteration in mobility, strength, or associated pain. Surgical intervention
is often indicated, with the surgical options based on both the type and location
of the deformity, as well as any associated articular, tendon, or soft tissue constraints.
This article provides a management approach based on the deformity classification,
location, and any associated conditions.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Corrective osteotomy for post-traumatic malunion of the phalanges in the hand.J Hand Surg Br. 1996; 21: 33-42
- On the adaptability of man's hand (with reference to the equiangular curve).Hand. 1973; 5: 187-191
- Posttraumatic reconstruction in the hand.Instr Course Lect. 2007; 56: 91-99
- Treatment of nonunion and malunion following hand fractures.Clin Plast Surg. 2011; 38: 683-695
- Deformity and nonunion following fractures.in: Tubiana R. Gilbert A. Bone and Skin Disorders. Martin Donitz, London2002: 153-170
- Fifth metacarpal fractures in a compensation clinic population.J Bone Joint Surg Am. 1970; 52: 1159-1165
- Malunion and nonunion of the metacarpals and phalanges.Instr Course Lect. 2006; 55: 121-128
- Step osteotomy: a precise rotation osteotomy to correct scissoring deformities of the fingers.Plast Reconst Surg. 1981; 68: 571-576
- Correction osteotomies of phalanges and metacarpals for rotational and angular malunion: A long-term follow-up and review of the literature.J Trauma. 1993; 35: 902-908
- Corrections of nonunions and malunions of the tubular bones of the hand.in: Strickland J.W. Graham T.J. Master Techniques in Orthopaedic Surgery: The Hand. 2nd ed. Lippincott Williams and Wilkins, Philadelphia2004: 85-94
- Rotational step-cut osteotomy for treatment of metacarpal and phalangeal malunion.J Hand Surg Am. 1991; 16: 551-555
- Correction of rotary malunion of the fingers by metacarpal rotational osteotomy.Orthopedics. 1990; 13: 197-200
- Management of malunited fracture of the metacarpal and phalangeal shafts.Hand Clin. 1988; 4: 529-536
- Osteotomy of the metacarpals and phalanges stabilized by AO plates and screws [in English, French].Ann Chir Main. 1989; 8: 30-38
- Metacarpal shaft fractures: the effect of shortening on the extensor tendon mechanism.J Hand Surg Am. 1998; 23: 519-523
- Osteotomy for digital deformity.J Hand Surg Am. 1981; 6: 585-589
- Salvage of intraarticular malunions of the hand and wrist: the role of realignment osteotomy.Clin Orthop Relat Res. 1987; 214: 130-135
- Chronic fracture-dislocation of the proximal interphalangeal joint: treatment by osteotomy and bone graft.J Hand Surg Am. 1981; 6: 447-455
- Intraarticular osteotomy for malunion of metacarpal head fractures.J Hand Surg Am. 1989; 14: 888-893
- A surgical technique to treat a malunited symptomatic Bennett's fracture.J Hand Surg Am. 1996; 21: 149-151
- Correction of malunited Bennett's fracture by intra-articular osteotomy: A report of two cases.J Hand Surg Am. 1997; 22: 441-444
- Extra-articular osteotomy for malunited unicondylar fractures of the proximal phalanx.J Hand Surg Am. 2005; 30: 566-572
- Condylar advancement osteotomy for correcting condylar malunion of the finger.J Hand Surg Br. 2002; 27: 31-35
- Intraosseous wiring of the digital skeleton.J Hand Surg Am. 1978; 3: 427-435
- Overlapping of fingers due to malunion of a phalanx corrected by a metacarpal rotational osteotomy: Report of two cases.J Hand Surg Br. 1985; 10: 389-390
- Metacarpal rotational osteotomy.J Hand Surg Am. 1985; 10: 105-108
- Modified step-cut osteotomy for metacarpal and phalangeal rotational deformity.J Hand Surg Am. 2009; 34: 335-340
- In situ osteotomy for extra-articular malunion of the proximal phalanx.J Hand Surg Am. 1998; 23: 821-826
Article info
Publication history
Published online: January 10, 2014
Accepted:
July 11,
2013
Received:
March 28,
2013
Footnotes
Funding provided by Stitchting Anna Fonds, VSB-fonds, Prins Bernhard Cultuurbonds, Banning-de John fonds (Dutch research grants; to A.G.J.B.), and AO Foundation (to J.B.J.). J.B.J. is a consultant for AO Foundation (no payment) and holds stock options in OHK company (no remuneration to date).
Identification
Copyright
© 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Journal CME QuestionsJournal of Hand SurgeryVol. 39Issue 2
