Pulley reconstruction in the hand

Background. To ensure proper function of the flexor tendons, pulleys are extremely important. Pulleys can be impaired by injury, infection, but also sometimes iatrogenically. The consequences of this failure are often poorly understood. Objectives. What is the impact of pulley insufficiency, what are the clinical signs, and what are the reconstruction options? Methods. The experiences of 64 patients with different forms of pulley insufficiency are presented. Results. All patients benefit from a ring ligament reconstruction. A phalanx fracture can be one complication. Conclusions. Pulley reconstructions are very beneficial operations.