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Radiographs of a recently operated hand (no. 23). (A) The patient is a 2.5-year-old boy. The principle of the treatment is first to do a slow soft tissue distraction with a pace of 0.5 mm/day. (B) When a good alignment has been achieved, (C) a microvascular MTP-II joint graft is performed to provide radial stability. The amount of distraction is 20.5 mm. The graft length is 45 mm.
