The partial excision greenstick (PEG) osteotomy: a novel approach to the correction of clinodactyly in children's fingers

J Hand Surg Eur Vol. 2009 Aug;34(4):516-8. doi: 10.1177/1753193409103246. Epub 2009 Apr 24.


Closing wedge osteotomy is an accepted technique for correcting bony malalignment. This study reports the results of a novel osteotomy technique used in children's hands. Excision of a partial wedge generates a 'greenstick' type of fracture which can then be reduced and stabilised using only intraosseous wires. Eight consecutive patients who underwent surgery of this type between March 2003 and January 2008 were reviewed retrospectively. Union was obtained in all cases and there was good bone alignment and range of movement. No significant technique-related complications were encountered. This approach is a simple and effective way of correcting malalignment in the small bones of children's hands.

MeSH terms

  • Bone Malalignment / diagnostic imaging
  • Bone Malalignment / surgery*
  • Bone Wires
  • Child
  • Child, Preschool
  • Female
  • Fingers / abnormalities*
  • Fingers / diagnostic imaging
  • Fingers / surgery*
  • Follow-Up Studies
  • Hand Deformities, Congenital / diagnostic imaging
  • Hand Deformities, Congenital / surgery*
  • Humans
  • Male
  • Osteotomy / methods*
  • Postoperative Care
  • Postoperative Complications / diagnostic imaging
  • Radiography
  • Splints
  • Thumb / abnormalities
  • Thumb / diagnostic imaging
  • Thumb / surgery