Send to

Choose Destination
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

Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Wexham, Slough, Berkshire, UK.


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.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center