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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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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author James Warbrick-Smith
Holly Morris
Shirley Collocott
Amy Wang
Karen L Smith
author_facet James Warbrick-Smith
Holly Morris
Shirley Collocott
Amy Wang
Karen L Smith
author_sort James Warbrick-Smith
collection DOAJ
description 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.
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publisher Australian Society of Plastic Surgeons
record_format Article
series Australasian Journal of Plastic Surgery
spelling doaj-art-02f7e2eac04e4b4a981e31351d8a32ea2025-08-20T02:40:07ZengAustralian Society of Plastic SurgeonsAustralasian Journal of Plastic Surgery2209-170X2024-07-017210.34239/ajops.92997The modified Stack procedure for central slip reconstruction: a case seriesJames Warbrick-SmithHolly MorrisShirley CollocottAmy WangKaren L SmithThere 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.https://doi.org/10.34239/ajops.92997
spellingShingle James Warbrick-Smith
Holly Morris
Shirley Collocott
Amy Wang
Karen L Smith
The modified Stack procedure for central slip reconstruction: a case series
Australasian Journal of Plastic Surgery
title The modified Stack procedure for central slip reconstruction: a case series
title_full The modified Stack procedure for central slip reconstruction: a case series
title_fullStr The modified Stack procedure for central slip reconstruction: a case series
title_full_unstemmed The modified Stack procedure for central slip reconstruction: a case series
title_short The modified Stack procedure for central slip reconstruction: a case series
title_sort modified stack procedure for central slip reconstruction a case series
url https://doi.org/10.34239/ajops.92997
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