Journal of Musculoskeletal Trauma

Review Articles

Complications of hand fractures: strategies for prevention and management: Jong Woo Kang; J Musculoskelet Trauma 2026;39(1):1-11. Published online January 25, 2026; DOI: https://doi.org/10.12671/jmt.2025.00304

Abstract PDF: Various complications can occur after hand fractures. Among them, joint stiffness and malunion are the most common and significant complications, which are often accompanied by tendon adhesions and joint contracture. Careful evaluations of injury characteristics, such as fracture patterns, alignment, and soft tissue injury, are the first step to select appropriate management strategies and prevent complications of hand fractures. Close observation of its clinical prognosis is also essential for early detection and preemptive management of complications. Management of complications includes immobilization, rehabilitation, and various surgical techniques such as tenolysis or capsular release for joint stiffness, corrective osteotomy for malunion, and revisional fixation with bone graft for nonunion. The authors discuss prevention, early recognition, and management strategies for complications of hand fractures in this review.

Osteotomy Selection: Advantages, Disadvantages, and Indication: Ki Chul Park, Hyun Uk Kim, Young Sik Song; J Korean Fract Soc 2017;30(3):167-172. Published online July 31, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.3.167

Abstract PDF: Malunion causes not only cosmetic problems, but also degenerative osteoarthritis due to changes in the anatomical and mechanical axes. Corrective osteotomy may be required in some cases to prevent these complications. The corrective osteotomy is divided into two types: Straight and dome. The straight type is divided into open and closed wedge, in accordance with the correction method. Surgeons should understand the indication, surgical procedure, as well as the advantages and disadvantages of each osteotomy method. Deciding on the method of corrective osteotomy depends on the degree of angulation, soft tissue condition, approximate with joint, implant type, and the experience of the surgeon.

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