title: [Ligament reconstruction in extensor tendon dislocation].
abstract: OBJECTIVE
  Stabile recentering the extensor tendon over the top of the head of the metacarpal to restore the exact tension and the direction.
  
  
  METHODS
  Dislocation of the extensor tendon at the metacarpophalangeal (MP) joint with functional disabilities of the fingers.
  
  
  METHODS
  Severe osteoarthritis of the MP joint. Accompanying injuries of collateral ligaments. Fibrosis of the MP joint or contractures of the intrinsic muscles.
  
  
  METHODS
  Curved 8 cm skin incision at distal metacarpal, MP joint, and proximal phalanx. A distally pedicled central tendon strip from the extensor digitorum communis (EDC) tendon is removed. Centralization of the tendon by reconstructing the sagittal ligament and the proximal part of the extensor hood. The tendon strip is wrapped around the tendon of the interossous muscle.
  
  
  METHODS
  Immobilization of the MP joint in 30° flexion with free proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints for 4 weeks. Full fist after 5 weeks.
  
  
  RESULTS
  In all 16 patients good or very good results were achieved. There were no recurrences of tendon dislocations, no MP joint contractures, and only a few minor extensor tendon adhesions.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.
authors.forename: M F
authors.initials: MF
authors.lastname: Langer
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Wieskötter
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Hartensuer
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Kösters
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Oeckenpöhler
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008022:Ligaments / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013165:Splints; D013536:Suture Techniques / Q000295:instrumentation; D013708:Tendon Injuries / Q000601:surgery*; D058971:Tenotomy / Q000379:methods; D016896:Treatment Outcome
keywords: Dislocation; Finger; Joint instability; Metacarpophalangeal joint; Reconstruction