Management of extra-articularmetacarpal and phalangeal malunions

Abstract

Malunion of the metacarpal or phalanx can result in significant functional impairment of the hand. Ideally, thissituation is best dealt with by prevention. When faced with a malunion, surgical correction can be a formidable task. However, anatomic alignment can be restored by osteotomy. This paper will explore the techniques of osteotomy, as they apply to a variety of metacarpal and phalangeal malunions. The key to optimal outcome is preoperative planning, meticulous surgical technique, rigid internal fixation and early postoperative range of motion.