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[Ligament reconstruction in extensor tendon dislocation].

M F Langer1, B Wieskötter2, R Hartensuer2

  • 1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.

Operative Orthopadie Und Traumatologie
|September 13, 2015
PubMed
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This study successfully recentered the extensor tendon at the metacarpophalangeal joint, restoring function and preventing dislocations in patients with finger disabilities.

Area of Science:

  • Hand surgery
  • Orthopedic surgery
  • Reconstructive surgery

Background:

  • Extensor tendon dislocation at the metacarpophalangeal (MP) joint causes significant functional impairment.
  • Restoring the extensor tendon's precise tension and direction is crucial for optimal finger function.

Purpose of the Study:

  • To evaluate a surgical technique for stable recentering of the extensor tendon over the metacarpal head.
  • To restore exact extensor tendon tension and direction after dislocation.

Main Methods:

  • A surgical technique involving a distally pedicled central tendon strip from the extensor digitorum communis (EDC) tendon.
  • Reconstruction of the sagittal ligament and extensor hood, with the tendon strip wrapped around the interosseous muscle tendon.
  • Postoperative immobilization of the MP joint in 30° flexion for 4 weeks.
Keywords:
DislocationFingerJoint instabilityMetacarpophalangeal jointReconstruction

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Main Results:

  • Excellent outcomes were achieved in all 16 patients.
  • No recurrences of tendon dislocations were observed.
  • No MP joint contractures or significant extensor tendon adhesions occurred.

Conclusions:

  • This surgical approach provides stable recentering of the extensor tendon.
  • The technique effectively restores function and prevents complications associated with extensor tendon dislocation.