Dynamic transfer with the flexor digitorum superficialis for chronic boutonnière deformity reconstruction: a report of two cases

Soldado, Francisco; Red-Gallego, María Ángeles de la

doi:10.1177/1753193419899042

J Hand Surg Eur Vol

2020

DOI: 10.1177/1753193419899042

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Dynamic transfer with the flexor digitorum superficialis for chronic boutonnière deformity reconstruction: a report of two cases

Francisco Soldado¹,

María Ángeles de la Red-Gallego

Abstract: Waters PM, Gillespie BT. Ray resection for progressive macrodactyly of the hand: surgical technique and illustrative cases.

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Cited by 5 publications

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“…Several surgical techniques have been proposed to correct the extensor mechanism after central slip injury. [1][2][3][4][5][6][7][8][9][10] However, most techniques cannot address all conditions of extensor tendon injuries in zone 3, and deficits in proximal interphalangeal (PIP) flexion may occur.…”

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confidence: 99%

Lambda (λ) repair: a novel repair technique for chronic Boutonnière deformity

Kim

Vasella

Lee

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Summary: Correction of a boutonnière deformity is one of the most demanding challenges in hand surgery. Surgical interventions are usually considered when functional use of the finger cannot be obtained after intense hand therapy. The authors introduce their newly described lambda (λ) repair, which is an easy-to-learn, straightforward surgical technique. The method involves an end-to-side tenorrhaphy of the lateral bands, resembling the Greek λ. Patients who underwent a lambda repair were retrospectively evaluated with preoperative and postoperative measurements of proximal interphalangeal (PIP) joint movement. Four patients (two male, two female; median age, 35.5 years) with a median follow-up period of 9.1 months were included. Three patients underwent lambda repairs for isolated boutonnière deformities, and one patient received a vascularized free toe transfer combined with a lambda repair. The preoperative average PIP joint extension lag or deficit was 28.75 degrees and could be reduced to 15 degrees. Preoperative average PIP joint active flexion was 60 degrees, which was improved to 88.75 degrees. No complications were observed. The lambda repair is a new tool in the reconstruction of boutonnière deformity, further expanding the armamentarium of hand surgeons.

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mentioning

confidence: 99%

Lambda (λ) repair: a novel repair technique for chronic Boutonnière deformity

Kim

Vasella

Lee

et al. 2023

Plastic &Amp; Reconstructive Surgery

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show abstract

“…Thus, harvesting change can be made a tendinous structure is often required to treat chronic boutonniere deformities, and various results have been reported with different surgical techniques. 2 , 3 , 4 , 5 , 6 …”

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confidence: 99%

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Baş¹,

Ayhan²,

Kunu³

et al. 2022

Journal of Hand Surgery Global Online

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Reconstruction of the central slip insertion of the extensor tendon with the partial slip of the flexor digitorum superficialis tendon

Liu

Zhang

Li³

et al. 2022

Arch Orthop Trauma Surg

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Dynamic transfer with the flexor digitorum superficialis for chronic boutonnière deformity reconstruction: a report of two cases

Abstract: Waters PM, Gillespie BT. Ray resection for progressive macrodactyly of the hand: surgical technique and illustrative cases.

Cited by 5 publications

References 4 publications

Lambda (λ) repair: a novel repair technique for chronic Boutonnière deformity

Lambda (λ) repair: a novel repair technique for chronic Boutonnière deformity

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Reconstruction of the central slip insertion of the extensor tendon with the partial slip of the flexor digitorum superficialis tendon

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