Dorsal suspension stitch: an alternative stabilization after flexor tenotomy for flexible hammer digit syndrome

The focus of this communication is to share an alternative form of positional maintenance for use after correction of flexible hammer digits via flexor tenotomy. The toe is maintained in a corrected position by means of a wide, horizontal mattress stitch with the suture passing through the extensor apparatus both proximal and distal to the interphalangeal joints. This suture prevents recurrence of plantarflexion contracture of the toe during the postoperative period without the use of Kirschner wire fixation. We have noted satisfactory maintenance and healing with this technique.