Skip Navigation LinksHome > December 2012 - Volume 16 - Issue 4 > The Simple Wire Interosseous Fixation Technique (SWIFT) for...
Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31826ce920

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)

Collapse Box


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.

© 2012 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.