A Simple Instrument for Tenolysis in Hand Surgery

Optimization of Flexor Tenolysis Using a Suture

“…After its insertion between the pulleys and the tendon, the shaft is withdrawn, allowing the suture to run across the canal. 10 The use of this instrumente bordos arredondaos, assemelhando-se a uma caberaumatizar as polias.motivados, cientes de que ter_____________________________, however, does not simplify the problem of passing the suture between the tendons in zone 2.…”

“…9 Nevertheless, Bain did not make it clear how it is possible to pass the suture and release the adhesions present in the chiasma. Azad (2004), on the other hand, describes the use of a simple instrument that, besides being useful for dissection, contributes to the passage of the suture through the digital canal without traumatizing the pulleys. The instrument has a shaft with a slight angle.…”

“…[9][10][11] Its great advantage is the use of an instrument that can cut and is flexible at the same time, being able to adapt to narrow spaces between the tendons and the digital canal. Such characteristics facilitate the section of the adhesions without opening or traumatizing the pulleys.…”

“…[9][10][11] The main advantage of this technique is the flexibility of the suture, which allows its insertion and traction inside the canal, cutting even the fibers that are difficult to reach without damaging the relevant anatomy of the pulleys. However, the use of cutting the suture does not resolve the problem of the restrained exposure of the tendons in zone 2 at the chiasma site.…”

“…The technique employed by the senior author of this study is based on the studies by Bain (2003), Azad (2004), and Le Viet (2004), who suggested the use of a monofilament suture to release the peritendon adhesions. [9][10][11] The main advantage of this technique is the flexibility of the suture, which allows its insertion and traction inside the canal, cutting even the fibers that are difficult to reach without damaging the relevant anatomy of the pulleys.…”