Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency

Author:

Sletten Ida Neergård1ORCID,Jokihaara Jarkko23,Stavenes Anne Birgit1,Winge Mona Irene1

Affiliation:

1. Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

2. Department of Hand Surgery, Tampere University Hospital, Tampere, Finland

3. Faculty of Medicine and Health Technology, Tampere University, Finland

Abstract

We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength. Level of evidence: IV

Publisher

SAGE Publications

Subject

Surgery

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