Contact burns and friction injuries to the dorsum of the finger denude it of full thickness of skin and central extensor tendon tissue, rendering the primary repair of the resultant boutonnière deformity difficult. A salvage procedure that offers both functional restoration and cosmesis is described. Here the unaffected lateral band aattachments are transposed en-masse, as a composite flap, to the dorsum of the finger to establish active extension of the proximal interphalangeal joint.
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References
1.
MATEVI. (1964) Transposition of the Lateral Slips of the Aponeurosis in Treatment of Long Standing “Boutonnière Deformity” of the Fingers.British Journal of Plastic Surgery, 17: 281–286.
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ZANCOLLIE. A. (1957) Claw Hand Caused by Paralysis of the Intrinsic Muscles, a Simple Surgical Procedure for its Correction.The Journal of Bone and Joint Surgery, 39A: 1076–1080.
