Creation of a "dorsal transverse intermetacarpal ligament" to prevent scissoring deformity in central ray amputation.

An adjunctive technique of ray approximation after central ray amputation is presented. This procedure creates a "dorsal transverse intermetacarpal ligament" by using a free tendon graft from the amputee to help prevent scissoring of the fingers, without the need for bony transposition or dorsal dermodesis.