In situ transverse osteotomy and locked mini plate for the correction of metacarpal rotational deformity

Authors : Levent ADIYEKE, Birkan KİBAR

Pages : 428-433

Doi:10.18621/eurj.879908

View : 13 | Download : 7

Publication Date : 2022-07-04

Article Type : Research Paper

Abstract :Objectives: We aimed to investigate the radiological and clinical results of transverse osteotomy and fixation applications in rotation deformities due to metacarpal malunion. Methods: A total of 18 fingers from 18 patients were enrolled in the study insert ignore into journalissuearticles values(14 males and 4 females);. The average age of the patients was 32.8 ± 14.4 years insert ignore into journalissuearticles values(range: 18-58 years);. The average follow-up duration was 19.7 ± 7.9 months insert ignore into journalissuearticles values(range: 7-36 months);. All patients had a scissoring deformity which affected their daily activities or caused cosmetic problems. Results: In all patients, the scissoring and overlapping deformities improved and in all osteotomies union was achieved. A total range of motion for the DIP, PIP, MP and wrist joints was achieved in all patients. The average DASH score was 5.2 ± 5.6 insert ignore into journalissuearticles values(range: 0-21.7);, and the average VAS score was 0.8 ± 0.9 insert ignore into journalissuearticles values(range: 0-3);. The average grip strength was 40.5 ± 10.2 kg insert ignore into journalissuearticles values(range: 19-55 kg); and 94% of the healthy side. There was no statistically significant difference in grip strength compared to the healthy side insert ignore into journalissuearticles values( p = 0.23);. 14 excellent and 4 good scores were obtained based on Büchler criteria. Conclusions: In situ transverse osteotomy and the locked miniplate method is effective and feasible in the treatment of metacarpal malunions with finger rotational deformities, given their ease of use, allowance of early movement, high union rates, and good results.
Keywords : Finger, rotational deformity, osteotomy, transverse, malunion