{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:26:56Z","timestamp":1791988016041,"version":"4.4.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>This article describes a novel technique for flexor digitorum profundus (FDP) avulsion injuries, useful for Leddy Packer type 3, 4, and 5 injuries. Multidirectional stability is achieved with combination pull-out suture, which neutralizes the deforming force of FDP, and cerclage wire, which holds the bone fragment in an anatomic position and provides interfragmentary compression. Traditional techniques such as interosseous wires, Kirschner wires, or plating risk fragment comminution and loss of reduction due to proximal pull of FDP as demonstrated in this case report of failed Kirschner-wire fixation. The technique presented here eliminates the risk of avulsion fragment comminution and provides stable fixation that allows for early mobilization.<\/jats:p>","DOI":"10.1097\/bth.0000000000000245","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T08:26:12Z","timestamp":1559895972000},"page":"160-164","source":"Crossref","is-referenced-by-count":4,"title":["Fixation of a Type 3 Flexor Digitorum Avulsion Injury"],"prefix":"10.1097","volume":"23","author":[{"given":"Morgan B.","family":"Weber","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals"},{"name":"Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle J.","family":"Chepla","sequence":"additional","affiliation":[{"name":"Plastic Surgery, MetroHealth Medical Center, Cleveland, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blaine T.","family":"Bafus","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/S0363-5023(77)80012-9","article-title":"Avulsion of the profundus tendon insertion in athletes","volume":"2","author":"Leddy","year":"1977","journal-title":"J Hand Surg Am"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/S0363-5023(81)80141-4","article-title":"Avulsion of a profundus tendon with simultaneous intraarticular fracture of the distal phalanx\u2014case report","volume":"6","author":"Smith","year":"1981","journal-title":"J Hand Surg Am"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1054\/jhsb.2001.0619","article-title":"Type 5 avulsion of the insertion of the flexor digitorum profundus tendon","volume":"26","author":"AL-Qattan","year":"2001","journal-title":"J Hand Surg Br"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.bjps.2013.04.026","article-title":"Zone 1 flexor tendon injuries: a review of the current treatment options for acute injuries","volume":"66","author":"Huq","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"152","DOI":"10.5435\/00124635-201103000-00004","article-title":"Avulsion injuries of the flexor digitorum profundus tendon","volume":"19","author":"Ruchelsman","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1007\/s00402-001-0352-9","article-title":"Avulsion fracture of the flexor digitorum profundus tendon (\u2018Jersey finger\u2019) type III","volume":"122","author":"Shabat","year":"2002","journal-title":"Arch Orthop Trauma Surg"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/S0266-7681(03)00100-1","article-title":"Miniplate fixation for avulsion injuries of the flexor digitorum profundus insertion","volume":"28","author":"Kang","year":"2003","journal-title":"J Hand Surg Am"},{"key":"R9-20230901","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/S0363-5023(80)80101-8","article-title":"Digital function following flexor tendon repair in zone II: a comparison of immobilization and controlled passive motion techniques","volume":"5","author":"Strickland","year":"1980","journal-title":"J Hand Surg Am"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0749-0712(21)01341-X","article-title":"Results of flexor tendon surgery in zone II","volume":"1","author":"Strickland","year":"1985","journal-title":"Hand Clin"},{"key":"R11-20230901","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1007\/BF00387588","article-title":"Flexor digitorum profundus avulsion with associated fracture of the distal phalanx","volume":"116","author":"Takami","year":"1997","journal-title":"Arch Orthop Trauma Surg"},{"key":"R12-20230901","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1016\/j.jhsa.2009.04.036","article-title":"Miniplate hooking method for repair of type III flexor digitorum profundus avulsion injury with a small bone fragment: case report","volume":"34","author":"Chen","year":"2009","journal-title":"J Hand Surg Am"},{"key":"R13-20230901","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1177\/1753193408090118","article-title":"The morbidity of the button-over-nail technique for zone 1 flexor tendon repairs. Should we still be using this technique?","volume":"33","author":"Kang","year":"2008","journal-title":"J Hand Surg Eur Vol"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T01:32:35Z","timestamp":1693531955000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000245","relation":{},"ISSN":["1089-3393"],"issn-type":[{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}