ABSTRACT
In cases of congenital hand deformity, the length of metacarpals and phalanges are often too short to achieve pinching or grasping. Lengthening of the digits has been used to improve this function of the hand (1,2). In cases involving a very small palm and absence of fingers, metacarpals have been lengthened to create a larger palm, making it more functional for use in bilateral hand activities (3). An improvement of hand appearance also has been a beneficial psychological factor for both the patient and the family.
