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Osteotomy for clinodactyly.

Charles A Goldfarb1, Lindley B Wall1

  • 1Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

The Journal of Hand Surgery
|April 21, 2015
PubMed
Summary
This summary is machine-generated.

Clinodactyly, a common finger deviation, can impact function. Surgical correction using opening wedge osteotomy offers satisfying results with rare complications for patients experiencing functional limitations.

Keywords:
Clinodactylyopening wedgeosteotomysurgery

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Pediatric Orthopedics

Background:

  • Clinodactyly is a common finger deviation, typically affecting the little finger.
  • While often asymptomatic, severe clinodactyly can impede function, particularly in tasks like playing musical instruments.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of opening wedge osteotomy for correcting clinodactyly.
  • To assess the surgical results and complication profile of this specific osteotomy technique.

Main Methods:

  • Review of surgical cases involving opening wedge osteotomy for clinodactyly correction.
  • Analysis of pre- and post-operative imaging and functional assessments.
  • Documentation of surgical outcomes, including deformity correction and patient satisfaction.

Main Results:

  • Opening wedge osteotomy effectively corrects coronal plane deformities in clinodactyly.
  • The procedure also contributes to increased finger length.
  • Surgical outcomes were generally satisfying, with a low incidence of complications.

Conclusions:

  • Opening wedge osteotomy is a successful surgical option for correcting clinodactyly in patients with functional limitations.
  • Complications are infrequent, though distal interphalangeal joint stiffness can occur.