Zeina, A., Younes, R., Ismail, H., Bahaa El Din, A., El Hadidi, M. (2019). Comparative Study between Lateral Band Mobilization and Spiral Retinacular Ligament Reconstruction in Swan Neck Deformity. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 61-66. doi: 10.21608/ejprs.2019.65157
Ahmed Abdelmoeti Zeina; Reda Younes; Hossam Eldin A Ismail; Ahmed M Bahaa El Din; Mohamed Radwan El Hadidi. "Comparative Study between Lateral Band Mobilization and Spiral Retinacular Ligament Reconstruction in Swan Neck Deformity". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 61-66. doi: 10.21608/ejprs.2019.65157
Zeina, A., Younes, R., Ismail, H., Bahaa El Din, A., El Hadidi, M. (2019). 'Comparative Study between Lateral Band Mobilization and Spiral Retinacular Ligament Reconstruction in Swan Neck Deformity', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 61-66. doi: 10.21608/ejprs.2019.65157
Zeina, A., Younes, R., Ismail, H., Bahaa El Din, A., El Hadidi, M. Comparative Study between Lateral Band Mobilization and Spiral Retinacular Ligament Reconstruction in Swan Neck Deformity. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 61-66. doi: 10.21608/ejprs.2019.65157
Comparative Study between Lateral Band Mobilization and Spiral Retinacular Ligament Reconstruction in Swan Neck Deformity
1The Department of Plastic Surgery*, Student Hospital Mansoura
2The Department of Plastic Surgery, Faculty of Medicine, Mansoura University
Abstract
Background: Sawn neck deformities of the fingers are challenging and difficult for treatment. Many techniques had been used with different success rates depending on the cause of deformity and the technique used for correction. Techniques deal with either lateral band mobilization or oblique retinacular ligament reconstruction (ORL) popularly used with many refinements. Objectives: To evaluate which surgical maneuver is better for correction of swan neck deformity and to compare results of lateral band mobilization and oblique retincular ligament reconstruction. Patients and Method: 11 patients suffered from swan neck deformities. 24 fingers after rheumatoid arthritis, 5 post-burn and 3 post-traumatic. Divided into 2 groups, 20 fingers were corrected by lateral band mobilization (Group < br />A). 12 fingers underwent ORL reconstruction (Group B). Assessment was done by measurement of extension lag on DIP by goniometer after 6 months compared with that done pre-operatively. Results: DIP extension lag improved with lateral band mobilization especially non-rheumatoid patients. But with ORL reconstruction the results were not satisfactorty as regard as entension lag and PIP hyperentension. Conclusion: Lateral band mobilization is a reliable method for correction of swan neeck deformity especially with nonrheumatoid patients (burn and trauma), but long-term results of lateral band translocation in rheumatoid patients are disappointing, as regard as ORL reconstruction with tendon graft, it did not show satisfactory results in this study.
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