SURGICAL TECHNIQUE Fractional Flexor Tendon Lengthening for Advanced Metacarpophalangeal Flexion Contracture in Rheumatoid Hands

摘要

This technical report discusses a subgroup of rheumatoid patients who have minimal uinar drift but a severe fixed metacarpophaiangea! joint flexion contracture for whom conventional metacarpophalangeal joint arthroplasty alone was insufficient to correct the deformity. We describe a surgical technique to deal with this clinical problem that uses fractional flexor tendon lengthening in the forearm to correct the severe flexion deformity at the metacarpophaiangeai joint