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J Hand Microsurg 2019; 11(03): 175-177
DOI: 10.1055/s-0039-1683459
Point of Technique
Society of Indian Hand & Microsurgeons

Treatment of Extensor Lag Using the Flexor Digitorum Superficialis after Crushing-Penetrating Injury to the Metacarpophalangeal Joint

Yoshitaka Hamada
1   Department of Orthopedic Surgery, Kansai Medical University, Neyagawa City, Osaka, Japan
,
Emiko Horii
1   Department of Orthopedic Surgery, Kansai Medical University, Neyagawa City, Osaka, Japan
,
Hiroyasu Toyama
2   Nanba Hand Center, Minamikawa Orthopedic Clinic, Osaka, Japan
,
Yoshitaka Minamikawa
2   Nanba Hand Center, Minamikawa Orthopedic Clinic, Osaka, Japan
,
Yukiko Kinoshita
1   Department of Orthopedic Surgery, Kansai Medical University, Neyagawa City, Osaka, Japan
,
Takanori Saito
1   Department of Orthopedic Surgery, Kansai Medical University, Neyagawa City, Osaka, Japan
› Author Affiliations Funding None.
Further Information

Publication History

Received: 13 December 2018

Accepted after revision: 21 January 2019

Publication Date:
01 March 2019 (online)

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Abstract

We previously reported the beneficial effects of tendon transfer to eliminate extension lag of the interphalangeal joints, using the extensor carpi radialis longus prolonged by palmaris longus tendon grafts after crushing-penetrating injuries around the metacarpophalangeal (MP) joint of the middle finger. We used the flexor digitorum superficialis (FDS) as the alternative donor muscle and treated two cases of severe crushing injuries to MP joint, and then obtained good outcomes.

Keywords

crushing-penetrating injury around the metacarpophalangeal joint - finger extensor lag - extensor reconstruction of interphalangeal joints - flexor digitorum superficialis - strategy of surgical treatment
 

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