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Tendon reconstruction for postburn boutonnière deformity
A A Rico1, P H Holguin, L R Vecilla
1Department of Plastic and Reconstructive Surgery, University Hospital, Getafe, Spain.
The Journal of Hand Surgery
|September 1, 1992
Summary
A new surgical technique uses tendon grafts to reconstruct the proximal interphalangeal joint hood, effectively correcting postburn boutonnière deformity by utilizing lateral bands for finger extension.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Postburn boutonnière deformity significantly impairs hand function.
- Current reconstructive methods for this deformity have limitations.
- Proximal interphalangeal joint (PIPJ) instability is a key challenge.
Purpose of the Study:
- To describe a novel surgical procedure for boutonnière deformity correction.
- To reconstruct the PIPJ hood using a tendon graft.
- To leverage lateral band function for simultaneous interphalangeal joint extension.
Main Methods:
- A surgical technique involving tendon graft reconstruction of the PIPJ hood.
- Focus on utilizing the intrinsic lateral bands of the fingers.
- Procedure applied to 22 fingers across multiple patients.
Main Results:
- Satisfactory functional and aesthetic outcomes were achieved in most cases.
- The technique successfully achieved simultaneous extension of the interphalangeal joints.
- Avoidance of excessive palmar displacement of the lateral bands was noted.
Conclusions:
- This tendon graft reconstruction technique offers a viable solution for postburn boutonnière deformity.
- The method effectively restores PIPJ stability and finger extension.
- The technique showed limitations in the small finger, warranting further investigation.