Central slip tenotomy with distal repair in the treatment of severe chronic mallet fingers.

The author is unaware of any studies that combine central slip tenotomy with a distal repair, using small transverse incisions at the proximal interphalangeal and distal interphalangeal joints, respectively, to repair chronic mallet fingers whose deformities exceed 36°. This article describes the technique in detail, as well as its indications, postoperative management, and complications. An illustrative review of a case series follows.