A 60 y/o female with hyperextension at the PIPJ and DIPJ of digits 2 and3 bilateral. Literally bearing weight on plantar PIPJ's. s/p DIPJ arthroplasty and flexor tenotomy in spring 06'. MRI reveals long flexor tendon visable and head of proximal phalanx. Looking for ideas on correction. Considering reattachment of flexor on plantar proximal phalanx with micro mitek anchor, extensor tendon lengthening and PIPJ arthroplasty. Thoughts?
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