We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. The dorsal tie-over does not require a suture button and, therefore, does not imperil the nail matrix. The surgical technique is herein described including the proposed anesthesia (wide awake), the incisions (midlateral), the exposures, and the repair itself.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jhsa.2018.08.015 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hand therapy utilization following digital flexor tendon repair: Trends, timing, predictive factors, and association with reoperation.
J Hand Ther
January 2025
Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT 06510, USA. Electronic address:
Background: Physical rehabilitation is considered an important component of recovery following digital flexor tendon repair (FTR), but no studies have thoroughly characterized nationwide therapy utilization in the United States.
Purpose: The current study characterized national trends in the timing and amount of hand therapy utilization following FTR and assessed factors associated with the lack of postoperative hand therapy.
Study Design: Retrospective cohort study.
Flexor tendon injuries are a commonly encountered hand problem caused by trauma. They can be associated with fractures or neurovascular injury or occur in isolation. Thorough physical examination is an integral aspect of management of these injuries to identify concomitant pathology and to facilitate preoperative planning and timing of surgery to improve outcome.
View Article and Find Full Text PDFThe impact of lymphedema severity on shoulder joint function and muscle activation patterns in breast cancer survivors: a cross-sectional study.
Support Care Cancer
December 2024
Department of Physical Therapy for Surgery, Faculty of Physical Therapy, South Valley University, Qena, Egypt.
Purpose: This study aimed to investigate the impacts of breast cancer-related lymphedema (BCRL) severity on shoulder function including range of motion, strength, muscle activation patterns, and patient-reported disability.
Methods: A cross-sectional, observational study design was utilized. Seventy-five women with unilateral BCRL were recruited and categorized into mild, moderate, and severe groups based on limb swelling severity.
Maximizing hand function following zone II flexor tendon repair: A systematic review and meta-analysis of rehabilitation strategies.
J Hand Microsurg
December 2024
Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Introduction: Injuries to the flexor tendons of the hand pose significant challenges in both surgical repair and postoperative rehabilitation. Despite advancements in techniques, there remains uncertainty about the most effective postoperative rehabilitation protocol/strategy. This study aims to address this debatable issue by evaluating different rehabilitation protocols following surgical repair in zone II flexor tendon repair.
View Article and Find Full Text PDFInfluence of palmar plate injury on outcomes of zone 2 flexor tendon repair.
J Hand Surg Eur Vol
December 2024
Department of Anesthesiology and Reanimation, Canakkale Onsekiz Mart University, Canakkale, Turkey.
This study investigates the impact of proximal interphalangeal joint palmar plate injury on outcomes of flexor tendon repair in zone 2, excluding cases with fractures or dislocations. A retrospective review of 47 digits in 45 patients treated between 2014 and 2022 was conducted, analysing surgical notes, ultrasound images and patient photographs. The palmar plate was injured in 17 digits and intact in 30.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!