Step Cut Lengthening: A Technique for Treatment of Flexor Pollicis Longus Tendon Rupture

Chew Wei Chong*, Shih Heng Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

3 Scopus citations


Reconstruction of a tendon defect is a challenging task in hand surgery. Delayed repair of a ruptured flexor pollicis longus (FPL) tendon is often associated with tendon defect. Primary repair of the tendon is often not possible, particularly after debridement of the unhealthy segment of the tendon. As such, various surgical treatments have been described in the literature, including single-stage tendon grafting, 2-stage tendon grafting, flexor digitorum superficialis tendon transfer from ring finger, and interphalangeal joint arthrodesis. We describe step cut lengthening of FPL tendon for the reconstruction of FPL rupture. This is a single-stage reconstruction without the need for tendon grafting or tendon transfer. To our knowledge, no such technique has been previously described.

Original languageEnglish
Pages (from-to)353-355
Number of pages3
JournalAnnals of Plastic Surgery
Issue number4
StatePublished - 01 04 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc. All rights reserved.


  • flexor pollicis longus
  • reconstruction
  • tendon
  • tendon lengthening
  • tendon rupture


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