title: A new technique for the treatment of flexor digitorum profundus tendon avulsion.
abstract: Current treatment of flexor digitorum profundus (FDP) avulsion with complex external wire or button fixation is associated with significant morbidity. A new method of internal fixation avoids the complications that are associated with previous techniques. Through a volar Bruner incision, the profundus tendon is retrieved. A transverse dorsal incision is made and two holes are drilled. A double-arm suture is passed through the tendon and bone, and is tied dorsally. Both incisions are closed, leaving the repair entirely internal. This simple technique produces a solid reinsertion of the FDP tendon and avoids damage to the nail bed and matrix. Internal fixation eliminates nail plate deformities, reduces cost, speeds recovery, and produces a stable reconstruction.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Virginia, Charlottesville, USA.
authors.forename: R O
authors.initials: RO
authors.lastname: Schultz
authors.forename: D B
authors.initials: DB
authors.lastname: Drake
authors.forename: R F
authors.initials: RF
authors.lastname: Morgan
mesh_terms: D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*