CORRECTION OSTEOTOMIES OF PHALANGES AND METACARPALS FOR ROTATIONAL AND ANGULAR MALUNION: A LONG-TERM FOLLOW-UP AND A REVIEW OF THE LITERATURE

Correction osteotomies of nine phalanges and six metacarpals for rotational and angular malunion were performed in 15 patients ranging from 20 to 75 years of age and followed a mean period of 4.5 years, ranging from 1 to 11 years. Full correction of the preoperative deformity was achieved in 13 of the 15 patients (87%), bony union in 100%, and no loss of preoperative range of motion was observed, except in one patient who underwent additional arthrodesis. A high satisfaction rate was seen among 13 of the 15 patints. These results underline that osteotomies of phalanges and metacarpals for angular and rotational malunion can have significant functional benefits for the well-being of patients.