Flexor digitorum superficialis tendon transfer for intrinsic replacement. Long-term results and the effect on donor fingers.
This study is a review of 127 hands in 100 patients in whom one or two FDS tendons were used to correct claw-hand deformity and/or loss of opposition of the thumb. In lumbrical replacement the results were graded as excellent in 16 hands (21%) and good in 43 hands (57%). For opponensplasty the results were excellent in 26 hands (32%) and good in 42 hands (51%). Possible defects that can develop in the donor finger are: swan-neck deformity, flexion posture of the DIP joint, not as part of the swan-neck deformity, check-rein deformity or flexion contracture, and insufficient finger flexion. Of the 158 fingers swan-neck deformity was seen in 15%, DIP flexion in 29%, check-rein deformity in 26% and insufficient finger flexion in 18%. The latter occurred with another defect. In 48 fingers (30%) no defects were observed.
Brandsma
J W
JW
All Africa Leprosy and Rehabilitation Training Centre, Addis Ababa, Ethiopia.
Ottenhoff-De Jonge
M W
MW
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000293:injuries* / Q000601:surgery; D009048:Motor Skills / Q000502:physiology*; D011183:Postoperative Complications / Q000503:physiopathology*; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000503:physiopathology; D014459:Ulnar Nerve / Q000293:injuries* / Q000601:surgery