Abstract
This paper presents the results of surgery on 36 fingers, in 15 patients with swan neck deformity treated by synovectomy, joint release and lateral band translocation. Overall, the range of motion postoperatively was 56 degrees and the arc was transposed to a more functional position (centre of arc of motion at 12 degrees preoperatively versus 42 degrees postoperatively). Even the more severe Type 5 deformity as well as those fingers with evidence of degenerative change, derived lasting benefit from the procedure, both in terms of range and arc of motion. This technique of treating stiff swan neck deformity is an effective means of obtaining a greater and more functional range of motion and maintaining it in the medium term.
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