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Metacarpal Malunion Correction With Crescentic Osteotomy.
Thomas J Berault1,2, Andrew D Henebry1,2
1Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Naval Medical Center Portsmouth, Portsmouth, VA.
Techniques in Hand & Upper Extremity Surgery
|February 16, 2026
Summary
This study introduces a new crescentic osteotomy technique for correcting metacarpal malunions. The novel method offers a safe and effective solution for hand fracture complications, achieving excellent patient outcomes.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Skeletal Reconstruction
Background:
- Metacarpal fractures are common hand injuries, with malunion being a frequent complication.
- Sagittal plane malunion can lead to functional deficits like extensor lag and aesthetic deformities.
Purpose of the Study:
- To describe a novel crescentic osteotomy technique for correcting extra-articular border metacarpal malunions.
- To evaluate the safety and efficacy of this new surgical approach.
Main Methods:
- A novel crescentic osteotomy of border metacarpals was performed.
- Fixation was achieved using intramedullary screw stabilization.
- Three cases of extra-articular metacarpal malunion were treated and analyzed.
Main Results:
- Patients experienced excellent outcomes at a median follow-up of 9 months.
- The mean QuickDASH score was 1.5, indicating minimal disability.
- No significant complications were reported in the treated cases.
Conclusions:
- The crescentic osteotomy with intramedullary screw fixation is a safe, effective, and reproducible technique.
- This method successfully corrects extra-articular metacarpal malunions.
- It offers a viable surgical option for improving hand function and aesthetics post-fracture.
