Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer

Clinics in Orthopedic Surgery
Jin Bo Tang

Abstract

Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly repaired before leaving the operating table. I applied this method to primary flexor tendon repair in zone 1 or 2, tenolysis, and tendon transfer, and found this approach makes tendon surgery easier and more reliable. This article describes the method that I have used for tendon surgery.

References

May 11, 2005·Hand Clinics·Jin Bo Tang
Dec 14, 2005·The Journal of Hand Surgery·Jin Bo TangRen Guo Xie
Jan 31, 2006·The Journal of Hand Surgery·Yi CaoJin Bo Tang
Jan 27, 2007·Plastic and Reconstructive Surgery·Christopher J ThomsonAnton J Feicht
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Colleen Fitzcharles-BoweDon Lalonde
Feb 3, 2009·Plastic and Reconstructive Surgery·Donald H Lalonde
May 14, 2010·Plastic and Reconstructive Surgery·Amanda HigginsJan F Lalonde
Oct 5, 2010·Plastic and Reconstructive Surgery·Thomas A MustoeDonald H Lalonde
Nov 3, 2010·Plastic and Reconstructive Surgery·Donald H Lalonde
Mar 6, 2012·The Journal of Hand Surgery·Ya Fang Wu, Jin Bo Tang
May 11, 2013·Hand Clinics·Donald H Lalonde, Alison L Martin
May 11, 2013·Hand Clinics·Jin Bo Tang
Jun 26, 2013·The Journal of Hand Surgery, European Volume·Y F Wu, J B Tang
Nov 30, 2013·Hand Clinics·Don Lalonde
Jul 6, 2014·Clinics in Plastic Surgery·Jin Bo Tang, Bella Avanessian
Oct 6, 2014·The Journal of Hand Surgery·Jin Bo Tang

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Citations

Apr 11, 2018·Plastic and Reconstructive Surgery. Global Open·Mineyuki ZukawaTomoatsu Kimura
Mar 27, 2018·Plastic and Reconstructive Surgery·Jin Bo Tang
May 23, 2018·JBJS Reviews·William J WarrenderAsif M Ilyas
Sep 7, 2018·Plastic and Reconstructive Surgery·Todd H AlterAsif M Ilyas
Jun 25, 2019·Annals of Plastic Surgery·Theddeus O H Prasetyono, Narottama Tunjung
Feb 6, 2020·Der Unfallchirurg·Thomas PillukatJörg van Schoonhoven
Jun 8, 2018·Plastic and Reconstructive Surgery. Global Open·Camillo Theo MüllerSébastien Durand
Jan 24, 2020·Der Unfallchirurg·W Schäfer, J R Hohbach
Apr 1, 2021·Plastic and Reconstructive Surgery. Global Open·Joey S KurtzmanSteven M Koehler
Apr 16, 2021·Plastic and Reconstructive Surgery. Global Open·Mineyuki ZukawaYoshiharu Kwaguchi
Aug 10, 2021·Plastic and Reconstructive Surgery. Global Open·Nadim Joukhadar, Donald Lalonde
Oct 27, 2021·The Journal of Hand Surgery, European Volume·Ahmed Fathy SadekMohamed Atef Ahmed

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