Abstract
1. Rotational deformity of a finger caused by malunion of a phalangeal fracture has been corrected by metacarpal osteotomy.
2. Because of the anatomical arrangement of the metacarpo-phalangeal joint this method gives good control of the distal phalanges.
3. Division through the metacarpal rather than through the phalanx avoids adhesions in the flexor and extensor mechanisms and in the joints of the fingers, allows early mobilisation and is an easier procedure.
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