Abstract
Objective To investigate the effectiveness of in situ osteotomy for correction of rotational deformity of the proximal phalanx. Methods Six cases of proximal phalanx rotational deformity resulted from fracture malunion were treated.Ostectomy was done at the site of the fracture via a dorsal approach.After correction of the rotation a contoured plate and screws were used for fixation. Results All patients were followup for 6 to 22 months.There was no infection or skin necrosis.Bone healing occurred in 6 to 9 weeks.There were no delayed union,nonunion or malunion. Conclusion In situ correction ostectomy can not only provide more accurate correction to restore finger function and appearance,but also addresses secondary tendon adhesion and decreases soft tissue damage. Key words: Ostectomy; Finger phalanges; Fracture fixation,internal; Malrotation
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