Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Genk, Belgium.
Tech Hand Up Extrem Surg. 2021 May 11;26(1):47-50. doi: 10.1097/BTH.0000000000000356.
Metacarpal fractures can be complicated by malrotation. This can cause functional problems with overriding or underriding of the fingers with flexion. Surgical treatment consists of corrective osteotomy and derotation. This is typically performed open and different techniques for osteotomy and fixation have been described. Postoperative complications include finger stiffness and hardware irritation. We propose a technique for minimally invasive corrective osteotomy of malunited metacarpal fractures with rotational malalignement. Advantages are quick rehabilitation and no prominent hardware.
掌骨骨折可并发旋转移位。这会导致手指在弯曲时出现重叠或覆盖不良的功能问题。手术治疗包括矫正性截骨和旋转移位矫正。通常采用开放性手术，已经描述了不同的截骨和固定技术。术后并发症包括手指僵硬和内固定刺激。我们提出了一种微创矫正术治疗旋转移位的愈合不良掌骨骨折的技术。优点是快速康复和无明显的内固定。
