Birth- Rotation angulation metacarpal osteotomies to construct pinch position

Description: This child's hypoplastic hand had two actively functioning digits and a third, flail ulnar digit. The two working fingers were separated at the level of the metacarpal bases and repositioned to face each other to allow a simple pinch function, using single step rotation angulation osteotomies and an inguinal flap to augment dorsal soft tissue cover.