Intraoperative findings. (A) Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger was observed. (B) A dorsal approach was designed to resect the middle phalanx. (C) The extension position of the little finger was acquired by resection of the middle phalanx. (D and E) After resection of the middle phalanx, articular cartilages distal to the proximal phalanx and proximal to the distal phalanx were removed, and these 2 bones were fixed at the little finger extension position using Break-Away Screw (Acutwist^®, Nihon Medical Next, Osaka Japan) ((D) Macroscopic findings of the little finger after surgery, (E) intraoperative fluoroscopic image).