Fowler central slip tenotomy for old mallet deformity

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Lucas-G-L. Plast-Reconstr-Surg. 1987 Jul. 80(1). P 92-4. Fowler's central slip tenotomy for old mallet deformity is a well-known, but apparently seldom used procedure. Although the vast majority of patients with mallet finger can be successfully treated by well-known conservative techniques, occasional patients, such as the 11 reported here, will have enough difficulty with a chronic mallet finger to warrant rebalancing of the extensor apparatus by means of central slip tenotomy.