Isolated dorsal approach for the treatment of neglected volar metacarpophalangeal joint dislocations

Figure 1 Preoperative and postoperative clinical radiological images of case 1. A: Pre-operative 30° limitation of flexion in the 4^th and 60° limitation of flexion in the 5^th metacarpophalangeal (MP) joint; B: Preoperative AP and lateral radiographies; C: 4^th MP joint has 20° and 5^th MP joint has 30° limitation of flexion at 2 mo postoperative; D: Full flexion at the 4^th MP joint and 10 degrees limitation of flexion at the 5^th MP joint at postoperative 12^th month; E: Radiographies at 12^th month. The reduction is maintained and the osteotomy line at the 4^th proximal phalanx had fused.