title: Surgical repair of central slip avulsion injuries with Mitek bone anchor--retrospective analysis of a case series.
abstract: The purpose of this study is to describe our technique of central slip repair using the Mitek bone anchor and to evaluate the treatment outcome. Eight digits in eight patients were reconstructed using the bone anchor: three little fingers, two middle fingers, two index fingers and one ring finger. There were two immediate and six delayed repairs (range from one day to eight months). Four patients had pre-operative intensive splinting and physiotherapy to restore passive extension of the proximal interphalangeal joint prior to central slip reconstruction. All patients have made good progress since surgery. No patient requires a second procedure and none of the bone anchors have dislodged or loosened. We conclude that the Mitek bone anchor is a reliable technique to achieve soft tissue to bone fixation in central slip avulsion injuries. We recommend that this technique be considered as a treatment option for patients requiring surgical repair.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, University College Hospital Galway, Newcastle Road, Galway, Republic of Ireland. chancy@eircom.net
authors.forename: Jeffrey C Y
authors.initials: JC
authors.lastname: Chan
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Purcell
authors.forename: John L
authors.initials: JL
authors.lastname: Kelly
mesh_terms: D000293:Adolescent; D000368:Aged; D004867:Equipment Design; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008023:Ligaments, Articular / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012189:Retrospective Studies