Fig. 6

A. Flexion contracture of the left third PIP joint is noted with a 45° extension lag. B. The tip of the advanced V–Y flap is designed 27 mm proximal to the digital base. C. Excision of neuroma is performed. D. Nerve repair is done with sural nerve graft harvested from the right leg. F. Passive full extension of the PIP joint is noted intraoperatively. E. Postoperative plain film showing nearly full active extension of the left third PIP joint