A, Reconstructive tissue is passed around phalanx and tendon deep to extensor tendon over proximal phalanx and superficial to it over middle. B and C, Graft is sutured securely because suture represents only weak point in this reconstruction. Overlapped repair is rotated around to side of digit, creating strong pulley with synovial gliding surface on its inner aspect. D and E, Intervening windows should be reconstructed with synovial tissue from dorsum of foot adjacent to retinaculum. SEE TECHNIQUE 66.14.