Flexor tendon repair and rehabilitation in zone II open sheath technique versus closed sheath technique

Saldana, Miguel J.; Ho, Paul K.; Lichtman, David M.; Chow, Jimmy A.; Dovelle, Sam; Thomes, Linwood J.

doi:10.1016/s0363-5023(87)80127-2

Cited by 41 publications

(4 citation statements)

References 16 publications

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“…These outstanding results did not include flexor tendon sheath closure. Saldana and associates [26] found no statistical difference between results with and without sheath closure. Furthermore neither Manske nor Gelberman [27] have been able to show experimentally that an intact sheath either improves nutrient uptake or tendon mechanics.…”

Section: Techniques Of Primary Repair In Zone 2 Injuriesmentioning

confidence: 89%

Primary flexor tendon repair: Surgical techniques based on the anatomy and biology of the flexor tendon system

Tonkin

1991

World j. surg.

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The anatomy, biology and bio-mechanics of the flexor tendon system demand a precise approach to flexor tendon repair. Within the fibroosseous canal, the synovial fluid and a complex intratendinous vascular network provide nutrition for intrinsic flexor tendon healing. Retention of the synovial sheath theoretically maintains an enclosed tendon/tendon sheat environment in which the tendon repair is bathed in synovial fluid, and may glide within a smooth tunnel. The preservation of the intricate double tendon inter-relationship and the annular pulley system is vital to the efficiency of finger flexion. This review details surgical and postoperative techniques aimed at restoring the normal anatomy and providing optimal conditions for the return of flexor tendon function.

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Section: Techniques Of Primary Repair In Zone 2 Injuriesmentioning

confidence: 89%

Primary flexor tendon repair: Surgical techniques based on the anatomy and biology of the flexor tendon system

Tonkin

1991

World j. surg.

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“…Lundborg et al [8] showed that a flexor tendon that is isolated and kept in a synovial fluid environment, without any vascular supply, is able to survive and heal without any formation of adhesions. Therefore, its emphasized that during process of tendon repair, as much as possible synovial sheath should be preserved [9][10][11].…”

Section: Healing Process Of Tendonsmentioning

confidence: 99%

Management of Flexor Tendon Injuries in Hand

Ahmad¹,

Jan²,

Rashid³

2019

Tendons

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Peculiar anatomy of human hand with flexing fingers and opposing thumb give human beings clear edge over other existing living beings. We use hands for carrying out most of our daily activities. But at the same time this makes our hands vulnerable for getting traumatized. Hand injuries which involve underlying tendons make digits dysfunctional, which in turn affects overall precise functioning of hand. In this chapter we will briefly discuss related surgical anatomy of flexor tendons and associated structures, features of flexor tendon injuries at different zonal levels, surgical methods involved and different post-operative protocols used for management of these flexor tendon injuries.

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“…The surgeon and the therapist decided to use the Washington Regimen of postoperative rehabilitation. This treatment process divides the rehabilitation into three stages: (a) rubber band traction with active ex tension, (b) therapist-assisted passive extension and passive flexion, and (c) active extension and active flexion (Chow, Thomes, Dovelle, Milnor, et al, 1987;Saldana et al, 1987).…”

Section: Postoperative Rehabilitation Programmentioning

confidence: 99%