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J Hand Microsurg 2012; 04(02): 47-49
DOI: 10.1007/s12593-012-0066-y
Original Article
Thieme Medical and Scientific Publishers Private Ltd.

Extensor Indicis Proprius Opponensplasty – The Burkhalter Revisited

P. Lemonas
,
T. Laing
,
S. Ghorbanian
,
M. Malahias
,
R. Ragoowansi
Subject Editor:
Further Information

Publication History

02 October 2011

19 March 2012

Publication Date:
05 September 2016 (online)

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Abstract

The Extensor Indicis Proprius Opponensplasty although not widely exercised by hand surgeons has previously been shown to produce good results in the restoration of thumb opposition. Over the last 5 years the Extensor Indicis Proprius was selectively used in cases where the Flexor Digitorum Superficialis was unavailable or inappropriate. In a small case series operating on a total of six male patients with an average age of 32 and follow up of 12 months we have been impressed by the functional outcome and lack of donor site morbidity. The Extensor Indicis Proprius is expendable with minimal donor site morbidity, is of sufficient length and has an optimal line of pull to provide a superior mechanical advantage and a favourable torque when compared to Flexor Digitorum Superficialis.

Keywords

Extensor Indicis - Tendon transfers - Opponensplasty - Burkhalter - Hand injury
 

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