Abstract
Surgical Principles A derotation osteotomy between the proximal metaphysis and diaphysis of a metacarpal bone is performed through a dorsoradial or -ulnar approach. Solid internal fixation of the fragments with small fragment implants of AO. A possible shortening of a metacarpal bone can be corrected by distraction of the fragments and interposition of an autogenous corticocancellous bone graft harvested from the iliac crest.
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