{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T17:56:49Z","timestamp":1781459809924,"version":"3.54.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Baoding City Science and Technology Plan Project","award":["2441ZF034"],"award-info":[{"award-number":["2441ZF034"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate efficiency of a percutaneous opening-wedge osteotomy, realignment, and fixation for hand bone malunions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From November 2020 to November 2023, the patients with hand bone malunions were treated. Fracture angulation was assessed on X-rays or CT scans. Range of motion of the digits was assessed based on the total active motion scale. The scales were graded as excellent (100%), good (75%\u201399%), fair (50%\u201374%), and poor (&lt;50%) based on the total active motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 47 patients (42 male and 5 female patients) with the mean age of 34\u00a0years (range, 17\u201358\u00a0years). The injured digits included thumb (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10), index finger (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6), long finger (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7), ring finger (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11), and little finger (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 13). The mean duration from injury to surgery was 16\u00a0weeks (range, 3\u201358\u00a0weeks). Bone healing was achieved in all patients after a mean of 6\u00a0weeks (range, 4\u201312 weeks). The mean follow-up period was 26\u00a0months (range, 24\u201329\u00a0months). The mean preoperative apex angulation of the fingers was 43\u00b0 (range, 11\u00b0\u201368\u00b0), and the mean angulation at the final follow-up was 2\u00b0 (range, 0\u00b0\u20136\u00b0). The mean preoperative apex angulation of the thumbs was 40\u00b0 (range, 32\u00b0\u201354\u00b0), and the mean angulation at the final follow-up was 0\u00b0 (range, 0\u00b0\u20135\u00b0). At the final follow-up, the mean total active motion scale was 257\u00b0 (range, 116\u00b0\u2013283\u00b0). There were 36 excellent and 11 good results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hand bone malunions can be treated with a percutaneous opening-wedge osteotomy, realignment, and fixation, resulting in good functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261459779","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T09:21:51Z","timestamp":1781169711000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A percutaneous opening-wedge osteotomy for hand bone malunions"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4497-445X","authenticated-orcid":false,"given":"Zitao","family":"Han","sequence":"first","affiliation":[{"name":"Baoding No. 1 Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoliang","family":"Yang","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadong","family":"Yu","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingqiao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jingxing Hospital, Shijiazhuang, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guisheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(91)90031-6"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2006.03.001"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-199809000-00003"},{"key":"e_1_3_4_5_2","first-page":"121","article-title":"Malunion and nonunion of the metacarpals and phalanges","volume":"55","author":"Ring D","year":"2006","unstructured":"Ring D. 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