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Tech Hand Up Extrem Surg. 2012 Dec;16(4):220-4. doi: 10.1097/BTH.0b013e31826ce920.

The simple wire interosseous fixation technique (SWIFT) for reattachment of FDP avulsions with a large bony fragment.

Author information

1
Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Wexham, Slough, Berkshire, UK. danmarkeson@hotmail.com

Abstract

Avulsion injuries of the flexor digitorum profundus tendon can be with or without a bony fragment. Types 3, 4, and 5 injuries often have a sizeable bony fragment. In the past, they have been repaired with either a screw, plate, or pull-out wire with a dorsal button, often in combination with a K wire to immobilize the distal interphalangeal joint. We illustrate with 2 cases a simple technique for secure repair of the flexor digitorum profundus avulsions with a bony fragment. In contrast to previously described techniques, our technique involves minimal dissection, has a significantly reduced risk of fracture to the bony fragment, is completely internalized thereby reducing the risk of postoperative infection and allows immediate mobilization.

PMID:
23160556
DOI:
10.1097/BTH.0b013e31826ce920
[Indexed for MEDLINE]

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