Correction of Distal Interphalangeal Joint Extension Lag Using Spiral Oblique Retinacular Ligament Reconstruction

나선빗인대 재건을 이용한 원위지관절 신전장애의 교정

  • Moon, Kyung Hwan (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Roh, Si Young (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Yang, Jae Won (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
  • 문경환 (광명성애병원 성형외과) ;
  • 김진수 (광명성애병원 성형외과) ;
  • 이동철 (광명성애병원 성형외과) ;
  • 기세휘 (광명성애병원 성형외과) ;
  • 노시영 (광명성애병원 성형외과) ;
  • 양재원 (광명성애병원 성형외과)
  • Received : 2006.02.17
  • Published : 2006.07.10

Abstract

Purpose: A lot of surgical techniques were tried to correct extension lag of distal interphalangeal joint. Spiral oblique retinacular ligament reconstruction is the one of correction techniques. Methods: From January 2004 to January 2005, a total of 13 extension lag of distal interphalangeal joint corrections were performed using spiral oblique retinacular ligament reconstruction for 11 patients. After dorsal incision exposing from base of distal phalanx to proximal phalanx, the new ligament(half of lateral band or graft tendon) lies distally at the dorsum of the distal phalanx and passes volarly and proximally along the side of the middle phalanx and anterior and obliquely across the front of the proximal interphalangeal joint to the opposite side of the digit at the proximal phalanx. Results: 5 of 6 mallet finger deformities and 7 swan neck deformities were corrected, which were both extension lag of distal interphalangeal joint and hyperextension of proximal interphalangeal joint. Conclusion: As a result, spiral oblique retinacular ligament reconstruction is an effective and recommendable method for correction of mallet finger deformity and swan neck deformity.

Keywords

References

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