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Figure 3. Free antero-lateral thigh flap with split thickness skin graft as well as cement spacers to the metacarpophalangeal joints
of index through small fingers. Seen in the photograph is the implantable Synovis Flow Coupler (Baxter, Birmingham, AL) device for
postoperative monitoring purposes
Figure 4. Staged extensor tendon reconstruction with silastic tendon implant placement and silastic arthroplasties (Integra LifeSciences,
Princeton, NJ) of the index through small finger metacarpophalangeal joints