A new modification of two-stage flexor tendon reconstruction.

A new modification of 2-stage flexor tendon reconstruction is described. This new modification includes the utilization of the insertion of the flexor digitorum profundus tendon to develop a distal tunnel for initial placement of the silicon rod at the first stage and subsequent placement of the tendon graft at the second stage. This allows a more distal attachment of the tendon graft at the second stage of the reconstruction, to maximize tendon excursion and minimize adhesions to the volar plate of the distal interphalangeal joint. Therefore, this new modification offers better distal interphalangeal joint function and ease of second stage distal tendon graft attachment.