Flexor Tendon Graft Attachment: A Review of Methods and A Newly Modified Tendon Graft Attachment

Wilson, Sandra; Sammut, D.

doi:10.1016/s0266-7681(02)00362-5

Cited by 25 publications

(17 citation statements)

References 17 publications

(16 reference statements)

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“…Thus, we recommend bearing in mind that excessive dissection and formation of transosseous tunnels around growth plate may result in growth disturbances. Distal fixation of the graft has been performed through a number of techniques over the years (Wilson and Sammut, 2003), although the use of bone anchors for distal attachment has been recently preferred (Brustein et al, 2001;Latendresse et al, 2005;McCallister et al, 2006). We opted for the button-on-the-nail technique, but acknowledge risk of nail deformity, looseness, and infection (Kang et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Long term results of early active extension and passive flexion mobilization following one-stage tendon grafting for neglected injuries of the flexor digitorum profundus in children

Yamazaki

Kato

Uchiyama

et al. 2011

J Hand Surg Eur Vol

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We retrospectively reviewed the long-term clinical outcomes of one-stage flexor tendon grafting for seven paediatric patients with isolated flexor digitorum profundus (FDP) tendon injuries in Zones 1 or 2. Free tendon grafts (one palmaris longus tendons and six plantaris tendons) were used for reconstruction by Pulvertaft's procedure. The ages of the patients at reconstruction ranged from 7 to 15 (mean 11) years. The time from injury to surgery ranged from three to 78 (mean 25) months. These patients were followed up from 2.5 to 21 years after surgery (mean 8.5 years). All cases were started on early active extension and passive flexion according to the modified Kleinert mobilization for postoperative rehabilitation. The mean active motion after surgery was 49° (range 20-80°) for the DIP joints and 106° (range 95-110°) for the PIP joints. The total active range of motion was on average 237° (range 195-275°). Excellent results were achieved in five patients, good in one, and fair in one. Growth arrest of the distal phalanx was seen in one patient. One-stage flexor tendon grafting in paediatric patients combined with early controlled mobilization can be used to reconstruct neglected isolated ruptures of the FDP tendon with satisfactory results.

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Section: Discussionmentioning

confidence: 99%

Long term results of early active extension and passive flexion mobilization following one-stage tendon grafting for neglected injuries of the flexor digitorum profundus in children

Yamazaki

Kato

Uchiyama

et al. 2011

J Hand Surg Eur Vol

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“…However, the use of suture anchors is becoming increasingly widespread in hand surgery (Abboud et al, 2002;Brustein et al, 2001;Buch et al, 1995;Khandwala et al, 2004;Silva et al, 1998a, b;Wilson and Sammut, 2003). A variety of suture anchors exists and a number have been tested in the laboratory (Barber et al, 1993(Barber et al, , 2003Barber and Herbert, 1999;Carpenter et al, 1993).…”

Section: Discussionmentioning

confidence: 99%

“…In 1996, Sood and Elliot reported a technique to attach the flexor tendon to the distal phalanx without the use of a button by passing the sutures through the bone (Sood and Elliot, 1996). Other methods of distal fixation have been reviewed by Wilson and Sammut and include tendon to tendon suture, tendon to bone attachment and tendon through the finger pulp (Wilson and Sammut, 2003). The use of small suture anchors provides a satisfactory alternative and is becoming more widespread.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Mitek Anchor Insertion Angle to Attachment of FDP Avulsion Injuries

Schreuder

Scougall

Puchert

et al. 2006

Journal of Hand Surgery

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Flexor digitorum profundus (FDP) tendon avulsions, although uncommon, are not infrequent injuries. A widely accepted method of treating Type 1 FDP avulsions is a pullout suture tied over a button on the nail plate. The external dorsal button is often a source of inconvenience for the patient. Potential risks associated with button use include nail plate deformities, nail fold necrosis and infections tracking along the sutures. The use of small suture anchors provides a satisfactory alternative, because buried fixation avoids these potential complications. This in vitro, biomechanical study examined the influence of the anchor orientation on the properties of the repaired FDP tendon using human cadavers.

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“…There are many methods described for the distal attachment of the tendon. These can be classified as tendon-to-tendon, tendon-to-bone, tendon-throughbone and attachment-around-bone techniques (Wilson and Sammut, 2003) (Figure 4). As with the proximal repair, the same biological principles apply, i.e.…”

Section: Methods Of Graft Attachmentmentioning

confidence: 99%

Tendon grafts: their natural history, biology and future development

Wong

Alam

McGrouther

et al. 2015

J Hand Surg Eur Vol

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The use of tendon grafts has diminished as regimes of primary repairs and rehabilitation have improved, but they remain important in secondary reconstruction. Relatively little is known about the cellular biology of grafts, and the general perception is that they have little biological activity. The reality is that there is a wealth of cellular and molecular changes occurring with the process of engraftment that affect the quality of the repair. This review highlights the historical perspectives and modern concepts of graft take, reviews the different attachment techniques and revisits the biology of pseudosheath formation. In addition, we discuss some of the future directions in tendon reconstruction by grafting, which include surface modification, vascularized tendon transfer, allografts, biomaterials and cell-based therapies.

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Flexor Tendon Graft Attachment: A Review of Methods and A Newly Modified Tendon Graft Attachment

Cited by 25 publications

References 17 publications

Long term results of early active extension and passive flexion mobilization following one-stage tendon grafting for neglected injuries of the flexor digitorum profundus in children

Long term results of early active extension and passive flexion mobilization following one-stage tendon grafting for neglected injuries of the flexor digitorum profundus in children

The Effect of Mitek Anchor Insertion Angle to Attachment of FDP Avulsion Injuries

Tendon grafts: their natural history, biology and future development

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