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《Orthopaedics》 2012-01
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Application of Mitek macro anchor in the repair of chronic volar plate avulsion injury

ZHENG Huai-yuan,LIU Juan,HONG Guang-xiang,et al.Department of Hand Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China  
Objective To introduce a new surgical procedure in treating chronic volar plate avulsion injury of the proximal interphalangeal joint with Mitek macro anchor.Methods Eight patients with chronic volar plate avulsion injury of the proximal interphalangeal joint were included in this study.Through a volar approach,the retracted volar plate was freed from scar and advanced distally.Mitek anchor was inserted to repair the avulted insertion of the volar plate on the volar basis of middle phalanx.Active motion was commenced 3 weeks postoperatively.Follow-up was performed 1 year later,and range of motion,pain,workload and patients' satisfaction were evaluated.Results All patients had an improved range of motion following surgery as compared with that preoperatively(P0.01).No intolerable pain was complained.Conclusion Surgical intervention of chronic volar plate avulsion injury using Mitek macro anchor can obtain excellent outcome of hand function recovery.
【CateGory Index】: R658.2
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