THE EFFECT OF MITEK ANCHOR INSERTION ANGLE TO P

uls ype ut se se th th n V with insufficient tendon distally to allow for a satisfac-tory core suture have to be treated in the same way as treating T over a but may be u which per al.,1971; button is patient. P include na infections avoids th tendon to the distal phalanx without the use of a ultimate load to failure of the anchors. ers from 75) years nd index PIP joint, tendon sse et al., dissection sacrificed and the FDP insertion was sharply dissected ARTICLE IN PRESS03). The use of small suture anchors the FDP in the remaining flexor sheabutton by passing the sutures through the bone (Sood and Elliot, 1996). Other methods of distal fixation have been reviewed by Wilson and Sammut and include tendon to tendon suture, tendon to bone attachment and tendon through the finger pulp (Wilson and Sammut, 20 from the base of the distal phalanx, leaving the palmar cortex intact and simulating a Type 1 FDP avulsion. The flexor digitorum superficialis tendon was removed and all adhesions between the FDP tendon and surrounding tissues liberated to allow free excursion of th. This simplified 292and Elliot reported a technique to attach the flexor carried out to the flexor sheath. The A5 pulley wasype 1 FDP avulsions is a pullout suture tied ton on the nail plate. A variety of suture types sed with an unlocked core suture technique, mits suture removal (Leddy, 1985; Mangus et Strickland, 1999). The external dorsal often a source of inconvenience for the otential risks associated with button use il plate deformities, nail fold necrosis and tracking along the sutures. Buried fixation ese potential complications. In 1996, Sood MATERIALS AND METHODS Eighteen, non-randomized fresh-frozen fing female cadavers of mean age 70 (range 63– were used. Specimens from the ring, middle a fingers were harvested through the level of the preserving a maximum length of the FDP (all415 cm) as previously described (Latendre 2005). Bruner skin incisions were used andType 1 FDP avulsions. A widely accepted method ofATTACHMENT OF F