Palmar Opening Wedge Osteotomy for Malunion of Fifth Metacarpal Neck Fractures

Malunion of fifth metacarpal neck fractures may present an aesthetic problem that needs surgical correction. This article reports palmar opening wedge osteotomy for the treatment of malunion of fifth metacarpal neck fractures in 21 hands. The length of the fifth metacarpal was increased using the technique. We also present long-term results in patients using the technique. Palmar opening wedge osteotomy is a successful surgical technique for the treatment of malunion of fifth metacarpal neck fractures.