Interposition Tendon Graft and Tension in the Repair of Closed Rupture of the Flexor Digitorum Profundus in Zone III or IV

Annals of Plastic Surgery
Young Jun KimJae Hoon Lee

Abstract

We report the results of interposition tendon grafts using the ipsilateral palmaris longus tendon in 12 patients with closed flexor digitorum profundus tendon ruptures in zone III or IV of 14 digits between June 2006 and October 2015. Before surgery, 2 patients were diagnosed with closed tendon ruptures that occurred after nonunion of hamate hook fractures. The other 10 patients were diagnosed with spontaneous tendon ruptures of unknown cause. In 2 of the 10 patients with spontaneous tendon rupture, the cause of the rupture was not found. In the other 8 patients, there was rough surface with deficient overlying soft tissue on the radial side of the hamate hook. In all cases, the ruptured flexor digitorum profundus was reconstructed by applying overtension on the tendon graft, causing greater flexion than for the other normal digits. Hamate hook excision was also performed on 10 subjects with abnormalities. Postoperatively, the patients were followed for an average of 22.5 months (range, 12-64 months). At the final follow-up, the mean Disabilities of the Arm, Shoulder, and Hand questionnaire score was 5.7 (range, 3.3-8.3). There were excellent results in all 14 digits according to Strickland and Glogovac criteria. The mean total...Continue Reading

References

Feb 1, 1985·Acta Orthopaedica Scandinavica·A MinamiS Ishii
Jul 17, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A ZbrodowskiS Gajisin
Nov 19, 2002·The American Journal of Sports Medicine·Yi-Shiong HangSheng-Mou Hou
Feb 4, 2003·The Journal of Hand Surgery·Charles Davis, Jim Armstrong
Apr 4, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H YamazakiY Hata
Sep 11, 2007·The Journal of Hand Surgery·Aaron J BoisDale Classen
Oct 10, 2007·The Journal of Hand Surgery·Fujioka MasakiMatsuoka Yohjiroh
Jun 2, 2011·Annals of Plastic Surgery·Seong-Ho JeongWoo-Kyung Kim
Jul 10, 2014·The Journal of Hand Surgery, European Volume·G J LeeG H Baek
Dec 3, 2014·The Journal of Hand Surgery·David T Netscher, Justin J Badal

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Citations

Jan 29, 2022·The Journal of Hand Surgery, European Volume·Takuma KurodaTakae Yoshizu

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