PMID: 11901391Mar 20, 2002Paper

Resection of the flexor digitorum superficialis reduces gliding resistance after zone II flexor digitorum profundus repair in vitro

The Journal of Hand Surgery
Chunfeng ZhaoKai-Nan An

Abstract

The effect of complete or partial resection of the flexor digitorum superficialis (FDS) tendon on the gliding resistance of the flexor digitorum profundus (FDP) tendon after FDP tendon repair was investigated. Twenty-four human FDP tendons were cut to 80% of their transverse section and repaired with a modified Kessler or a Massachusetts General Hospital augmented Becker suture technique. Gliding resistance was measured with the following constructs: intact state, sutured FDP tendon with FDS tendon intact, sutured tendon without FDS tendon, and sutured tendon with one slip of FDS tendon excised. After FDP repair the gliding resistance after modified Kessler repair increased 247% with FDS intact, 132% with one slip of FDS present, and 103% with FDS entirely removed. With a Becker repair, resistance increased 671% compared with normal with the FDS intact, 379% with one slip of the FDS, and 348% without the FDS tendon. Preserving the whole FDS resulted in a significantly larger increase in gliding resistance after FDP repair than did full or partial FDS removal, which were not significantly different from each other. These results suggest that the FDS tendon affects the gliding resistance under the pulley after FDP repair and that...Continue Reading

Citations

Apr 30, 2014·Plastic and Reconstructive Surgery·Michael W NeumeisterEvyn Neumeister
Jul 11, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Soma I Lilly, Terry M Messer
Apr 30, 2010·The Journal of Hand Surgery, European Volume·A OdobescuM S Gilardino
Apr 30, 2008·The Journal of Hand Surgery, European Volume·M E PuhaindranY M Chen
Nov 26, 2009·The Journal of Bone and Joint Surgery. American Volume·Jennifer ConnorMark Gonzalez
Jun 26, 2013·The Journal of Hand Surgery, European Volume·Y F Wu, J B Tang
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Jun 28, 2017·Plastic and Reconstructive Surgery·Robin N Kamal, Jeffrey Yao
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Dec 19, 2017·JBJS Case Connector·Clay Spitler, Jason Rehm
Jun 19, 2021·The Journal of Hand Surgery, European Volume·Giovanni MunzSandra Pfanner
Oct 7, 2004·The Journal of Hand Surgery·Tatsuro TanakaKai-Nan An
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Oct 19, 2006·Injury·Jin Bo Tang
Aug 22, 2021·Injury·Oliver PearceLuca Lancerotto
May 14, 2005·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Karen M Pettengill
Dec 24, 2021·Hand : Official Journal of the American Association for Hand Surgery·Lee FuchsAmir Oron

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