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Journal of Hand Surgery (British and European Volume)
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Articles

Pivot Osteotomy for the Correction of Malunion of Metacarpal Neck Fractures

A. J. THURSTON

From the Department of Orthopaedic Surgery, Wellington School of Medicine, New Zealand

Correspondence: A. J. Thurston, MSc(Oxon), FRACS, Senior Lecturer in Orthopaedic Surgery, Wellington School of Medicine, New Zealand.

A new configuration of osteotomy has been developed which combines the principles and benefits of opening and closing wedge osteotomies without the degree of shortening associated with the closing wedge osteotomy and the tension imposed on the soft tissues by the opening wedge osteotomy. It is ideally suited to the correction of angular malunions in the long bones of the hands. Ten osteotomies of malunions of the metacarpals have been performed in nine hands giving good correction of the malunion in all cases.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 5, 580-582 (1992)
DOI: 10.1016/S0266-7681(05)80247-5
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