Mantovani Gustavo, Pavan Alexandre, Aita Marcio A, Argintar Evan
São Paulo Hand Center, Hand Surgery Group, Beneficência Portuguesa de São Paulo Hospital, Faculdade de Medicina do ABC, Sao Paulo, Brazil.
Tech Hand Up Extrem Surg. 2011 Jun;15(2):87-91. doi: 10.1097/BTH.0b013e3181efa215.
We present a case report describing the surgical technique for the reconstruction of the proximal interphalangeal (PIP) joint collateral ligament using autograft palmaris longus tendon graft. We accomplished this successfully in a high performance professional athlete presenting with chronic instability of the PIP joint. Our surgical reconstructive technique recreated anatomic ligament position, while correcting multidirectional instability without disruption of the other dynamic anatomic structures of the PIP joint. Our results demonstrated excellent clinical and functional results, and we offer our technique as an alternative to tenodesis procedures for individuals with professions that demand PIP motion.
我们报告一例病例，描述了使用掌长肌腱自体移植物重建近端指间关节（PIP）侧副韧带的手术技术。我们成功地为一名患有PIP关节慢性不稳定的高水平职业运动员实施了该手术。我们的手术重建技术恢复了韧带的解剖位置，同时纠正了多向不稳定，且未破坏PIP关节的其他动态解剖结构。我们的结果显示出优异的临床和功能效果，对于需要PIP关节活动的职业人群，我们提供该技术作为肌腱固定术的替代方法。
