Froimson A I
J Hand Surg Am. 1981 Nov;6(6):585-9. doi: 10.1016/s0363-5023(81)80138-4.
Osteotomy may be indicated in digital phalanges to correct angular or rotational deformity resulting from malunited fracture, epiphyseal arrest, or congenital or developmental causes. The use of fine power tools facilitates precise correction. lateral angulation is corrected by closing wedge osteotomy, dorsal angulation by opening wedge and bone graft, rotational deformity by transverse osteotomy, and derotation through the involved phalanx. Smooth Kirschner wires stabilize the osteotomies to permit early joint motion. These procedures can safely be performed in children.
对于指骨，截骨术可用于纠正因骨折愈合不良、骨骺阻滞或先天性或发育性原因导致的成角或旋转畸形。使用精细动力工具有助于精确矫正。外侧成角通过闭合楔形截骨术矫正，背侧成角通过开放楔形截骨术和植骨矫正，旋转畸形通过横行截骨术矫正，并通过受累指骨进行旋转。光滑的克氏针可稳定截骨部位，以便早期进行关节活动。这些手术在儿童中可以安全地进行。
