Peimer reduction osteotomy. A, Dorsal incision. B, Narrowing of distal phalanx. C, Excision of distal epiphysis. D, Needle placed across interphalangeal joint to orient transverse osteotomy. E, Completion of osteotomy. F, Combined osteotomies form closing wedge to shorten and realign thumb. G, Bone ends are fixed with smooth wires. SEE TECHNIQUE 80.34.