Urbaniak J R, Hayes M G
J Hand Surg Am. 1981 Jul;6(4):379-83. doi: 10.1016/s0363-5023(81)80048-2.
Restoration of motion and appearance of the chronic boutonniere deformity is often accomplished by splinting. If the deformity persists following appropriate splinting, and if a full passive range of motion of the proximal interphalangeal joint is present, surgery may be recommended. Thirteen patients had surgical reconstruction over a 10-year period, with satisfactory improvement in all but one. This operation involves release of the transverse retinacular ligaments and reconstruction of the damaged central slip by using the local joint capsule and synovium attached to the base of the proximal phalanx.
慢性纽扣畸形的活动和外观恢复通常通过夹板固定来实现。如果在适当的夹板固定后畸形仍然存在，并且近端指间关节存在完全被动活动范围，则可能建议进行手术。在10年期间，有13名患者接受了手术重建，除1例之外，所有患者均有满意的改善。该手术包括松解横向支持韧带，并利用附着于近节指骨基部的局部关节囊和滑膜重建受损的中央束。
