Chronic Boutonniere Deformity: Cross-Lateral Band Technique Using Palmaris Longus Autograft

The Journal of Hand Surgery
Serdar DuzgunHasan Buyukdogan

Abstract

The purpose of this study was to evaluate the outcomes of treatment of chronic boutonniere deformity with a reconstruction technique using palmaris longus autograft. Seven patients with chronic, posttraumatic, flexible boutonniere deformities referred to our clinic between January 2010 and September 2014 were included in the study. In all 7 patients, the lateral bands were deficient or damaged beyond repair. A novel reconstruction technique for chronic boutonniere deformity utilizing palmaris longus autograft was used. The 2 lateral bands were reconstructed by attaching the palmaris longus tendon grafts from the lateral part of the central slip proximally to the volar aspect of the distal phalanx distally using pull-out sutures. The grafts were positioned so that they crossed over one another at the level of the middle phalanx. The patients were followed for a mean of 14 months (range, 12-16 months). The principal outcome measure was the range of motion of the proximal (PIP) and distal (DIP) interphalangeal joints. Before surgery, the average PIP joint active flexion was 69° (range, 60°-85°). After surgery, the average PIP joint active flexion increased to 92° (range, 90°-100°). Before surgery, the average PIP joint extension d...Continue Reading

References

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Jul 22, 2014·The Journal of Hand Surgery·Jong-Pil KimWon-Jeong Shin

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Citations

Sep 12, 2018·Techniques in Hand & Upper Extremity Surgery·Shaan S PatelJason Nydick
Feb 26, 2020·Plastic and Reconstructive Surgery·Wyndell H MerrittDonald H Lalonde
Jul 16, 2020·Journal of Surgical Case Reports·Jonathan Rogozinski, R Michael Johnson
Feb 23, 2021·Der Unfallchirurg·Thomas PillukatJ van Schoonhoven
May 31, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Terrence Jose Jerome

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