Adipofascial flap in repairs for capsular defects after release of metacarpophalangeal joint contracture: a report of five patients.

Dear Editor, Extension contracture of the metacarpophalangeal (MCP) joints impairs the function of a hand. Graph: Figure 2.A 39-year-old woman (case #1 in Table 1) sustained a right 3rd and 4th metacarpal fracture with subsequent right 3rd MCP joint extension contracture. (a) Preoperative extension contracture of right 3rd MCP joint; (b and c) intraoperative closed view of the radial side of a RDMAF flap resurfacing the MCP joint capsule after capsulotomy; (d) at 6-months after surgery the MCP flexion was 80°. [Extracted from the article]