Clinodactyly in 10 fingers (9 patients) with longitudinally bracketed diaphysis (LBD) was treated surgically with various methods. In 4 cases with LBD in the middle phalanx of a triphalangeal thumb this phalanx was removed and the ligaments reconstructed. In the other 6 digits the LBD was in the base phalanx of a thumb or in the middle phalanx of some other digit. One of these was treated in infancy with transverse resection of the bracket. In 3 cases (4 digits) wedge osteotomy with reversal of the wedge was carried out. In the remaining case simple osteotomy was performed and a wedge-shaped bonegraft was interposed in the space created. Treatment in the last-mentioned case was unsuccessful because postoperatively the graft slipped out of position, but in all other cases the results achieved appear satisfactory.

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In the present study radiological evaluation of 45 cases of Bennett's fracture reveals that different types of fracture dislocations correlate with late and typical deformities of the metacarpal joint surface. Functional results with special reference to treatment by closed reduction and percutaneous pinning show that this method was successful in most cases treated (92%). It is concluded that percutaneous pinning offers a simple and reliable way of fixation which eliminates the need for X-rays during the healing period. Untoward effects on the joints caused by the pins were not observed and the incidence of secondary arthrosis was not higher than reported for other methods of internal fixation. 4 11 30 Scand J Plast Reconsfr Surg 5 Scand J Plast Surg Recontr Surg Hand Surg Downloaded from informahealthcare.com by University of Toronto on 11/19/14 For personal use only. 26, 3. ThorCn, L. 1956. A new method of extension treatment in Bennett's fracture. Acta Chir Scand 110, 485. Scand J Plast Reconstr Surg 5 Scand J Plast Surg Recontr Surg Hand Surg Downloaded from informahealthcare.com by University of Toronto on 11/19/14For personal use only.

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