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Year 2022, Volume: 8 Issue: 4, 428 - 433, 04.07.2022
https://doi.org/10.18621/eurj.879908

Abstract

References

  • 1. Bloem JJ, Kon M, de Graaf FH. Rotational deformity of the index finger caused by reversed finger sucking. Ann Plast Surg 1988;21:597-600.
  • 2. Büchler U, Gupta A, Ruf S. Corrective osteotomy for post- traumatic malunion of the phalanges in the hand. J Hand Surg Br 1996;21:33-42.
  • 3. Bindra RR, Burke FD. Metacarpal osteotomy for correction of acquired phalangeal rotational deformity. J Hand Surg Am 2009;34:1895-99.
  • 4. Jawa A, Zucchini M, Lauri G, Jupiter J. Modified step-cut osteotomy for metacarpal and phalangeal rotational deformity. J Hand Surg Am 2009;34:335-40.
  • 5. Manktelow RT, Mahoney JL. Step osteotomy: a precise rotation osteotomy to correct scissoring deformities of the fingers. Plast Reconstr Surg 1981;68:571-6.
  • 6. Gollamudi S, Jones WA. Corrective osteotomy of malunited fractures of phalanges and metacarpals. J Hand Surg Br 2000;25:439-41.
  • 7. Kibar B. Hemi-hamate osteochondral autograft for acute dorsal proximal interphalangeal fracture-dislocations. Eur J Trauma Emerg Surg 2021;47:825-9.
  • 8. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996;29:602-8.
  • 9. Kibar B, Malkoç FE. Reconstruction of chronic thumb metacarpophalangeal radial collateral ligament injuries with free tendon grrafts. Jt Dis Relat Surg 2020;31:62-7.
  • 10. Weckesser EC. Rotational osteotomy of the metacarpal for overlapping fingers. J Bone Joint Surg Am 1965;47:751-6.
  • 11. Gross MS, Gelberman RH. Metacarpal rotational osteotomy. J Hand Surg Am 1985;10:105-8.
  • 12. Pichora DR, Meyer R, Masear VR. Rotational step-cut osteotomy for treatment of metacarpal and phalangeal malunion. J Hand Surg Am 1991;16:551-5.
  • 13. Van der Lei B, de Jonge J, Robinson PH, Klasen HJ. Correction osteotomies of phalanges and metacarpals for rotational and angular malunion: a long-term follow-up and a review of the literature. J Trauma 1993;35:902-8.
  • 14. Menon J. Correction of rotary malunion of the fingers by metacarpal osteotomy. Orthopedics 1990;13:197-200.

In situ transverse osteotomy and locked mini plate for the correction of metacarpal rotational deformity

Year 2022, Volume: 8 Issue: 4, 428 - 433, 04.07.2022
https://doi.org/10.18621/eurj.879908

Abstract

Objectives: We aimed to investigate the radiological and clinical results of transverse osteotomy and fixation applications in rotation deformities due to metacarpal malunion.


Methods:
A total of 18 fingers from 18 patients were enrolled in the study (14 males and 4 females). The average age of the patients was 32.8 ± 14.4 years (range: 18-58 years). The average follow-up duration was 19.7 ± 7.9 months (range: 7-36 months). All patients had a scissoring deformity which affected their daily activities or caused cosmetic problems.


Results:
In all patients, the scissoring and overlapping deformities improved and in all osteotomies union was achieved. A total range of motion for the DIP, PIP, MP and wrist joints was achieved in all patients. The average DASH score was 5.2 ± 5.6 (range: 0-21.7), and the average VAS score was 0.8 ± 0.9 (range: 0-3). The average grip strength was 40.5 ± 10.2 kg (range: 19-55 kg) and 94% of the healthy side. There was no statistically significant difference in grip strength compared to the healthy side (p = 0.23). 14 excellent and 4 good scores were obtained based on Büchler criteria.


Conclusions:
In situ transverse osteotomy and the locked miniplate method is effective and feasible in the treatment of metacarpal malunions with finger rotational deformities, given their ease of use, allowance of early movement, high union rates, and good results.

References

  • 1. Bloem JJ, Kon M, de Graaf FH. Rotational deformity of the index finger caused by reversed finger sucking. Ann Plast Surg 1988;21:597-600.
  • 2. Büchler U, Gupta A, Ruf S. Corrective osteotomy for post- traumatic malunion of the phalanges in the hand. J Hand Surg Br 1996;21:33-42.
  • 3. Bindra RR, Burke FD. Metacarpal osteotomy for correction of acquired phalangeal rotational deformity. J Hand Surg Am 2009;34:1895-99.
  • 4. Jawa A, Zucchini M, Lauri G, Jupiter J. Modified step-cut osteotomy for metacarpal and phalangeal rotational deformity. J Hand Surg Am 2009;34:335-40.
  • 5. Manktelow RT, Mahoney JL. Step osteotomy: a precise rotation osteotomy to correct scissoring deformities of the fingers. Plast Reconstr Surg 1981;68:571-6.
  • 6. Gollamudi S, Jones WA. Corrective osteotomy of malunited fractures of phalanges and metacarpals. J Hand Surg Br 2000;25:439-41.
  • 7. Kibar B. Hemi-hamate osteochondral autograft for acute dorsal proximal interphalangeal fracture-dislocations. Eur J Trauma Emerg Surg 2021;47:825-9.
  • 8. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 1996;29:602-8.
  • 9. Kibar B, Malkoç FE. Reconstruction of chronic thumb metacarpophalangeal radial collateral ligament injuries with free tendon grrafts. Jt Dis Relat Surg 2020;31:62-7.
  • 10. Weckesser EC. Rotational osteotomy of the metacarpal for overlapping fingers. J Bone Joint Surg Am 1965;47:751-6.
  • 11. Gross MS, Gelberman RH. Metacarpal rotational osteotomy. J Hand Surg Am 1985;10:105-8.
  • 12. Pichora DR, Meyer R, Masear VR. Rotational step-cut osteotomy for treatment of metacarpal and phalangeal malunion. J Hand Surg Am 1991;16:551-5.
  • 13. Van der Lei B, de Jonge J, Robinson PH, Klasen HJ. Correction osteotomies of phalanges and metacarpals for rotational and angular malunion: a long-term follow-up and a review of the literature. J Trauma 1993;35:902-8.
  • 14. Menon J. Correction of rotary malunion of the fingers by metacarpal osteotomy. Orthopedics 1990;13:197-200.
There are 14 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Levent Adıyeke 0000-0003-3014-3582

Birkan Kibar 0000-0002-2365-2904

Publication Date July 4, 2022
Submission Date February 14, 2021
Acceptance Date May 4, 2021
Published in Issue Year 2022 Volume: 8 Issue: 4

Cite

AMA Adıyeke L, Kibar B. In situ transverse osteotomy and locked mini plate for the correction of metacarpal rotational deformity. Eur Res J. July 2022;8(4):428-433. doi:10.18621/eurj.879908

e-ISSN: 2149-3189 


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