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Jersey Finger Repair

Rachel M. Drummey, MSc1; Asif M. Ilyas, MD, MBA, FACS2
1 University of Central Florida College of Medicine
2 Rothman Institute at Thomas Jefferson University

1. Introduction and Surgical Approach

2. Incision

3. Dissection to Flexor Sheath

4. Locate and Mobilize Flexor Tendon

5. Tag Flexor Tendon

6. Pass Flexor Tendon Through Pulleys

7. Preparation of Flexor Tendon Insertion Site on Distal Phalanx

8. Reattachment of Flexor Tendon to Insertion Site on Distal Phalanx

  1. Place Over-the-Top Sutures Through Tendon Stump
  2. Place Suture Anchor
  3. Place Anchor Sutures Through Tendon Stump
  4. Use Keith Needle to Pass Over-the-Top Sutures Around Distal Phalanx
  5. Bury and Tie Over-the-Top Sutures Directly over the Base of the Dorsal Distal Phalanx
  6. Assessment of Integrity and Quality of Repair
  7. Tie Anchor Sutures

9. Closure and Reinspection of Motion and Integrity

10. Dressing and Splint