Article

Surgical treatment of finger swan neck deformities is versatile. We
aimed to assess the outcome of PIP tenodesis on unfixed deformities, in patients
suffering from rheumatoid arthritis. METHODS: Twenty-three PIP tenodeses were
performed on eight patients, using half of a superficialis flexor digitorum
tendon sutured to A2 pulley through a volar approach. Postoperative splinting, in
20 degrees of PIP flexion, was maintained for 4 weeks. The patients were assessed
retrospectively, at a mean period of 61 months. RESULTS:
The PIP flexion gained
26 degrees . On the other hand, a 4 degrees -flexion contraction was induced. The
mean postoperative flexion reached 65 degrees . The PIP hyperextension was
corrected by 33 degrees . In one same patient, the correction was insufficient
for the four fingers. The DIP lack of extension was totally corrected in 70% of
the cases and partially in 30%. Each patient had functional improvement. Nineteen
good and excellent, and four fair results were reported. No major complication
was observed. CONCLUSION: This tenodesis seems to be reliable and to give good
long-term results. It is our intervention of choice for rheumatoid flexible
swan-neck deformity.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS