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4Suture the volar plate

Use fine multifilament sutures with double-mounted straight needles to insert a criss-cross stitch (Bunnell) in each side ...


Keeping the phalanx hyperextended, drill holes for the needles in the ulnar and radial endsof the transverse groove. It is essential to use a drill guide in order to protect the cartilage of the condyles.
The drill holes must just perforate the dorsal cortex of the middle phalanx.