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[The traumatic boutonnière deformity].

M Haerle¹, O Lotter, I Mertz

¹Klinik für Hand- und Plastische Chirurgie, Orthopädische Klinik , Kurt-Lindemann-Weg 10, 71706, Markgröningen, Deutschland. m.haerle@okm.de

|December 4, 2008

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The traumatic boutonnière deformity, a complication of extensor tendon repair, requires precise primary treatment. A staged reconstructive approach is recommended for this challenging condition.

Area of Science:

Orthopedic Surgery
Hand Surgery
Reconstructive Surgery

Background:

The boutonnière deformity can arise from failed primary treatment of extensor tendon injuries.
Understanding the underlying mechanisms is crucial for successful surgical repair.
Proximal interphalangeal joint extensor tendon lesions are prone to this complication.

Purpose of the Study:

To review the mechanisms and common reconstructive procedures for traumatic boutonnière deformity.
To emphasize the importance of accurate primary diagnosis and repair.
To recommend a treatment strategy for managing this complex injury.

Main Methods:

Review of established surgical techniques for boutonnière deformity.
Illustration of frequently used reconstructive methods.

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Discussion of the principles guiding surgical decision-making.

Main Results:

Several reconstructive methods exist, but none guarantee universal success.
A staged approach may improve outcomes but often leads to incomplete correction.
The complexity of the deformity necessitates careful surgical planning.

Conclusions:

Accurate primary diagnosis and timely repair are paramount to prevent boutonnière deformity.
A staged reconstructive strategy is advised when primary repair fails.
Managing traumatic boutonnière deformity remains challenging, often requiring specialized expertise.