The modified Stack procedure for central slip reconstruction: a case series

There are many surgical techniques for reconstruction of the divided or incompetent central slip. Most rely upon postoperative immobilisation to protect the repair. We present our experience using a distally based flexor digitorum superficialis slip to reconstruct the central slip and allow early mo...

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Bibliographic Details
Main Authors: James Warbrick-Smith, Holly Morris, Shirley Collocott, Amy Wang, Karen L Smith
Format: Article
Language:English
Published: Australian Society of Plastic Surgeons 2024-07-01
Series:Australasian Journal of Plastic Surgery
Online Access:https://doi.org/10.34239/ajops.92997
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Summary:There are many surgical techniques for reconstruction of the divided or incompetent central slip. Most rely upon postoperative immobilisation to protect the repair. We present our experience using a distally based flexor digitorum superficialis slip to reconstruct the central slip and allow early mobilisation in five patients with intact preoperative intrinsic function. Post-treatment, a mean recovery of 65 degrees of active extension was achieved, albeit at the cost of a mean 22-degree loss of active flexion. We suggest this relatively easy technique provides a useful surgical option in the management of this difficult problem.
ISSN:2209-170X