Avoidance of unfavourable results following primary flexor tendon surgery
Autor: | David Elliot, Thomas Giesen |
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Přispěvatelé: | University of Zurich, Elliot, D |
Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Flexor tendon business.industry lcsh:Surgery unfavourable results 030208 emergency & critical care medicine 610 Medicine & health lcsh:RD1-811 Review Article 030230 surgery Review article Surgery Tendon 2746 Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Physical therapy Avoidance unfavourable results flexor tendon surgery business 10266 Clinic for Reconstructive Surgery primary flexor tendon surgery |
Zdroj: | Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India Indian Journal of Plastic Surgery, Vol 46, Iss 02, Pp 312-324 (2013) |
Popis: | This review describes the biological problems faced by those managing primary flexor tendon injuries and explains why these problems still thwart attempts to achieve normal, or near normal, function after this injury, despite a century of surgical effort. It considers the historical background of the early 20 th century attempts to improve the results and analyses the clinical usefulness of more recent research into tendon core and circumferential suture modification, including the authors′ work in this field, and changes in post-operative mobilisation over the last 50 years. More recent manipulation of the sheath to improve results and the future possibility of manipulation of adhesions are discussed. It also discusses other factors, e.g., the patient, the experience of the surgeon, the use of therapists, the timing of repair, complex injuries, injuries in zones other than zone 2, which can have a bearing on the results and considers how these can be modified to avoid an unfavourable outcome. |
Databáze: | OpenAIRE |
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