Deep Transverse Metacarpal Ligament Reconstruction Using Suture Button and A1 Pulley

We describe the case of a patient whose right hand came into contact with a boat propeller. He sustained a complete disruption of the DTML between the second and third ray in addition to soft tissue injury and open metacarpal fractures. Although other techniques describe a reconstruction of the DTML, our technique describes an adjunctive technique that strongly augments the A1 pulley reconstruction and nullifies the requirements of palmaris longus graft.

Source: Techniques in Hand and Upper Extremity Surgery - November 16, 2017 Category: Surgery Tags: Techniques Source Type: research