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The Simple Wire Interosseous Fixation Technique (SWIFT) for Reattachment of FDP Avulsions With a Large Bony Fragment

Markeson, Daniel B. MBBS, BSc, MRCS (Eng); Mughal, Maleeha MBBS, MRCS (Eng); Subramanian, Padmanabhan MBBS, BSc (Hons), MRCS (Eng); Iyer, Srinivasan MBBS, MS, MCh, FRCS (Plast)

Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31826ce920
Techniques
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.

Author Information

Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Wexham, Slough, Berkshire, UK

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Daniel B. Markeson, MBBS, BSc, MRCS (Eng), Department of Plastic and Reconstructive Surgery, Wexham Park Hospital, Wexham, Slough, Berkshire SL2 4HL, UK. E-mail: danmarkeson@hotmail.com.

© 2012 Lippincott Williams & Wilkins, Inc.