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Reinsertion of the Ruptured Ulnar Collateral Ligament of the Metacarpophalangeal joint with an Absorbable Self-Reinforced Polylactide Tack

From the Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, and the Institute of Plastics Technology, Tampere University of Technology, Finland

Correspondence: Timo Juutilainen, MD, Department of Orthopaedics and Traumatology, Helsinki Central University Hospital, Topeliuksenkatu 5, 00260 Helsinki, Finland

70 patients with total avulsion or rupture of the ulnar collateral ligament of the first metacarpophalangeal joint were treated surgically, using an absorbable self-reinforced poly-L-lactide mini-tack placed through the ligament and a channel in the base of the proximal phalanx. The device stabilized the joint immediately, and 69 ligaments remained stable at 6 months. The subjective result was good or satisfactory in 66 of the cases. One case needed further surgery for pain in the scar and another developed local infection 9 months post-operatively. On the basis of these findings, the new absorbable fixation method seems to be a suitable method for clinical use.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 2, 200-203 (1993)
DOI: 10.1016/0266-7681(93)90110-2


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