title: The simple wire interosseous fixation technique (SWIFT) for reattachment of FDP avulsions with a large bony fragment.
abstract: Avulsion injuries of the flexor digitorum profundus tendon can be with or without a bony fragment. Types 3, 4, and 5 injuries often have a sizeable bony fragment. In the past, they have been repaired with either a screw, plate, or pull-out wire with a dorsal button, often in combination with a K wire to immobilize the distal interphalangeal joint. We illustrate with 2 cases a simple technique for secure repair of the flexor digitorum profundus avulsions with a bony fragment. In contrast to previously described techniques, our technique involves minimal dissection, has a significantly reduced risk of fracture to the bony fragment, is completely internalized thereby reducing the risk of postoperative infection and allows immediate mobilization.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Wexham, Slough, Berkshire, UK. danmarkeson@hotmail.com
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Markeson
authors.forename: Maleeha
authors.initials: M
authors.lastname: Mughal
authors.forename: Padmanabhan
authors.initials: P
authors.lastname: Subramanian
authors.forename: Srinivasan
authors.initials: S
authors.lastname: Iyer
mesh_terms: D000328:Adult; D001864:Bone Wires; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D009407:Nerve Block; D019637:Orthopedic Procedures; D011859:Radiography; D013530:Surgical Wound Infection / Q000517:prevention & control; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*