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Updated: Jul 18, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
Published on: May 26, 2026
Fractional flexor tendon lengthening for advanced metacarpophalangeal flexion contracture in rheumatoid hands
Abdulaziz Al-Ahaideb1, Darren S Drosdowech, David R Pichora
1King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. ahaideb@gmail.com
Abstract:
This technical report discusses a subgroup of rheumatoid patients who have minimal ulnar drift but a severe fixed metacarpophalangeal joint flexion contracture for whom conventional metacarpophalangeal joint arthroplasty alone was insufficient to correct the deformity. We describe a surgical technique to deal with this clinical problem that uses fractional flexor tendon lengthening in the forearm to correct the severe flexion deformity at the metacarpophalangeal joint.

