Two-stage grafting of flexor tendons: results after mobilisation by controlled early active movement

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Paul SmithAddie Grobbelaar

Abstract

We present the results of two-stage flexor tendon grafting to the hand followed by early active mobilisation. Twenty-six digits from 22 patients were assessed over a 10-year period between 1991 and 2001. Using the LaSalle and Strickland assessment for surgical outcome, we found that 20 digits (77%) achieved excellent or good results. Two ruptured (8%) and one developed adhesions (4%). We think that our results are achieved through meticulous attention to surgical technique with the use of mid-lateral incisions for surgical access, strong bony fixation of the graft that allows a good interface between tendon and distal phalanx, and a closely supervised early active mobilisation regimen after the repair.

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Citations

Oct 17, 2008·BMC Musculoskeletal Disorders·Renée OltmanChristian Grüneberg
Jan 18, 2013·Indian Journal of Orthopaedics·Prakash P Kotwal, Mohammed Tahir Ansari
Jul 17, 2014·Chirurgie de la main·N PauchardG Dautel
Jul 9, 2008·Disability and Rehabilitation·Pankaj Sharma, Nicola Maffulli
Jan 11, 2011·Clinical Biomechanics·Tomasz MazurekMarek Rocławski
Jun 2, 2010·The Journal of Hand Surgery·Tom MooreJohn Gray Seiler
May 14, 2005·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Martin I BoyerRichard H Gelberman
Jan 22, 2013·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Chunfeng ZhaoPeter C Amadio
May 23, 2006·The Journal of Hand Surgery·Deqing HuangA Bobby Chhabra
Aug 13, 2015·The Journal of Hand Surgery, European Volume·R WongJ K F Wong
Jun 2, 2009·Plastic and Reconstructive Surgery·Alphonsus K S ChongJames Chang
Jun 30, 2012·Clinical Orthopaedics and Related Research·Furkan E Karabekmez, Chunfeng Zhao
May 3, 2013·The Journal of Bone and Joint Surgery. American Volume·Nadia SciberrasGraeme Holt
Jan 18, 2021·Hand Surgery and Rehabilitation·S DurandR Diot

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