The modified Stack procedure for central slip reconstruction: a case series

The modified Stack procedure for central slip reconstruction: a case series

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There are many surgical techniques for reconstruction of the divided or incompetent central slip.Most rely upon postoperative immobilisation to protect the repair.We present our experience using a 12n/1200 wella distally based flexor digitorum superficialis slip to reconstruct the central slip and allow early mobilisation in five patients with intact preoperative intrinsic function.Post-treatment, a mean recovery of 65 degrees of active extension was achieved, albeit at the cost of a mean 22-degree loss of active flexion.We suggest this relatively easy technique provides a useful here surgical option in the management of this difficult problem.