Potential problem. | Solutions |
---|---|
Operative wound skin necrosis | Incision-Lazy Y skin incision was made to gather more blood supply to skin flap. |
Nail deformity | Germinal matrix protection-Subperiosteal elevation of germinal matrix about 3-4 mm and put the plate under it. |
Terminal tendon laxity with extension lag of DIP joint | Respect the soft tissue- Meticulously dissection without injury of the integrity of termial tendon-to-bone structure. |
Implant loss reduction (screw loosening) | Adequate screw purchase-Oblique trajectory of screw placement with bicortical screw purchase |
Wide awake test-Intraoperative wide awake test to ensure adequate strength of fixation. Add Kirschner wire fixation, if wide awake test fail |