Flexor tendon repair: recent changes and current methods
| Autor: | Donald H. Lalonde, Ahmed Fathy Sadek, Zhang Jun Pan, Koji Moriya, Leila Harhaus, Jin Bo Tang |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Hand Surgery (European Volume). 47:31-39 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/17531934211053757 |
| Popis: | The current clinical methods of flexor tendon repair are remarkably different from those used 20 years ago. This article starts with a review of the current methods, followed by presentation of past experience and current status of six eminent hand surgery units from four continents/regions. Many units are using, or are moving toward using, the recent strong (multi-strand) core suture method together with a simpler peripheral suture. Venting of the critical pulleys over less than 2 cm length is safe and favours functional recovery. These repair and recent motion protocols lead to remarkably more reliable repairs, with over 80% good or excellent outcomes achieved rather consistently after Zone 2 repair along with infrequent need of tenolysis. Despite slight variations in repair methods, they all consider general principles and should be followed. Outcomes of Zone 2 repairs are not dissimilar to those in other zones with very low to zero incidence of rupture. |
| Databáze: | OpenAIRE |
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