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. 2022 Aug 7;58(8):1065. doi: 10.3390/medicina58081065

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© 2022 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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(a) 51 years old male patient with retracted skin, extensor tendon adhesions, and proximal interphalangeal joint post traumatic arthritis to the dorsum of the non-dominant left little finger; (b,c) tenoarthrolysis, joint replacement with a silastic implant, and reinforcement of the extensor tendon—the passive possible maximum flexion is shown; (d) harvesting of a retrograde free venous flap from the same forearm; (e) reconstruction of the skin of the dorsum of the finger—the arterialized vein is anastomosed end to end to the digital ulnar artery of the ring finger, dissected, and moved to the little finger; (f–h) result at 6 months with good finger extension and good flexion.

(a) 51 years old male patient with retracted skin, extensor tendon adhesions, and proximal interphalangeal joint post traumatic arthritis to the dorsum of the non-dominant left little finger; (b,c) tenoarthrolysis, joint replacement with a silastic implant, and reinforcement of the extensor tendon—the passive possible maximum flexion is shown; (d) harvesting of a retrograde free venous flap from the same forearm; (e) reconstruction of the skin of the dorsum of the finger—the arterialized vein is anastomosed end to end to the digital ulnar artery of the ring finger, dissected, and moved to the little finger; (f–h) result at 6 months with good finger extension and good flexion.