@Article{, title={A prospective case study: Comparing two surgical techniques—the closing and reverse wedge osteotomy for treating clinodactyly}, author={Arwa Kasim Almajidy and Sabah Hassan Naji and Rand K. Almajidy}, journal={Iraqi National journal of Medicine المجلة العراقية الوطنية للطب}, volume={2}, number={1}, pages={42-51}, year={2020}, abstract={Background: Clinodactyly or inclination of the digits, particularly the fifth digit, is a congenitalanomaly of the hand that occurs in 1% to 19.5% of the population. This deformity requiresreconstruction of both the functional and the aesthetic appearance of the finger, if it is severe, toavoid future growth deformity.Objective: The study aims to review the outcomes and the complications associated with closingand reverse wedge osteotomy techniques for treating clinodactyly.Patients and Methods: Ten patients’ ten fingers with clinodactyly were submitted forreconstruction from March 2014 to May 2016 in the Al Wasity teaching hospital in Baghdad.They were treated using the closing and reverse wedge osteotomy techniques. In the closingwedge procedure, a wedge was removed from the most convex part of the middle phalanx.Subsequently, the finger is aligned in the midaxial plane and repaired with 2 K-wires. In thereverse wedge osteotomy, the wedge was rotated 180 degrees and reinserted into the bone gapwith the wide end first. This buttressed the osteotomy open. Subsequently, the K-wires wereinserted in retrograde fashion, maintaining the graft’s position. Then, dressing was applied withthe small splint from the PIP to the tip of the finger.Results: After a 15-month follow-up, all the patients showed satisfactory results aesthetically andthe functionally—with full range of motion. There was no recurrence in any case. Only one casehad residual angulation and no major complications were encountered.Conclusion: The closing and reverse wedge osteotomy was proven effective in treatingclinodactyly. The closing wedge is simpler than the reverse wedge. The technical difficulty ofreverse wedge osteotomy may make it a less appealing option to surgeons but the outcomes wehad were rewarding, both techniques provided good overall correction of angulation in one stage,and straightforward procedure, with few complications, good aesthetic outcome and patientsatisfaction with improved function.Keywords: clinodactyly, closing wedge, reverse wedge

} }