Uncommon Methods of Flexor Tendon and Tendon-Bone Repairs and Grafting

Tang, Jin Bo

doi:10.1016/j.hcl.2013.02.004

Cited by 15 publications

(7 citation statements)

References 15 publications

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“…Typically, patients who present more than 1month after trauma are not eligible for direct repair, however, Tang JB. 2013 has reported positive outcomes using late direct repair in patients for whom direct approximation of the tendon ends is possible [65]. Tendon tension is markedly greater during such procedures and the use of at least a 6-strand core suture repair is recommended.…”

Section: Advanced Methods Of Ftrmentioning

confidence: 99%

“…Tendon tension is markedly greater during such procedures and the use of at least a 6-strand core suture repair is recommended. Z-plasty lengthening of flexor tendons is a useful adjunct to help compensate for the loss of elasticity of muscle fibres [65,66]. This ought to be considered only after taking into account hand function and patient compliance with rehabilitation.…”

Section: Advanced Methods Of Ftrmentioning

confidence: 99%

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The evidence-base for the management of flexor tendon injuries of the hand: Review

Ishak

Rajangam

Khajuria

2019

Annals of Medicine and Surgery

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Section: Advanced Methods Of Ftrmentioning

confidence: 99%

Section: Advanced Methods Of Ftrmentioning

confidence: 99%

The evidence-base for the management of flexor tendon injuries of the hand: Review

Ishak

Rajangam

Khajuria

2019

Annals of Medicine and Surgery

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“…Flap transfer. All flap transfers were performed by an experienced hand surgeon (Dr Renguo Xie) accredited with expertise level 4 for flap surgery (16)(17)(18). The skin at the distal end was excised and the thumb dorsal artery was exposed.…”

Section: Patient Information and Study Design Between February 2012mentioning

confidence: 99%

Application of a modified dorsoulnar artery pedicle flap in the repair of thumb tip defects: A case report

et al. 2020

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Between February 2012 and March 2014 10 patients were admitted to the Affiliated Hospital of Nantong University for surgery due to a thumb tip defect. Nine of these patients were male and one was female and there were 7 cases of left thumb defects and 3 cases of right thumb defects. The surgical procedures followed were first, modification of the flap tail to an equilateral triangle, which facilitated pedicle suturing of soft tissue defects, caused mild tension and effectively reduced venous disorders, and second complete opening of the flap pedicle to the soft tissue defects at the tunnel. All patients were followed up at 6 and 12 months after surgery. Grip and pinch strength were measured 6 and 12 months after surgery. Static two-point discrimination testing of the modified flap showed minor differences from the uninjured hand. Post-surgery grip and pinch strength were restored to approximately 85% of the level of that in the uninjured hand. The modified dorsoulnar artery pedicle flap provided excellent thumb tip defect coverage and is an effective and safe technique for the restoration of grip and pinch strength to the hand after the repair of a thumb tip defect.

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“…Allogeneic tendon grafts have been used since 1967 and their efficacy has been proven, 3 but their application has not become widespread because of concerns regarding immunogenicity and other issues. With the development of modern medicine, allograft tendons have been widely used in cruciate ligament injuries, 4 acromioclavicular ligament injuries, 5 Achilles tendon injuries, 6 hand trauma, 7 , 8 and other injuries. However, few studies have focused on the efficacy and safety of allogeneic tendon grafts in severe hand injuries.…”

Section: Introductionmentioning

confidence: 99%

Functional reconstruction of severe hand injuries using allogeneic tendons: a retrospective study

et al. 2020

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Objective To evaluate the effectiveness and safety of allogeneic tendons for functional reconstruction of severe hand injuries. Methods From August 2007 to July 2014, we performed functional reconstruction with tendon allografts for severe hand injuries affecting two or more tendons. At the final follow-up, we assessed total active motion (TAM); pincer pinch strength; grip strength; Disabilities of the Arm, Shoulder, and Hand (DASH) score; degree of satisfaction; and adhesion. We measured the white blood cell count, C-reactive protein concentration, erythrocyte sedimentation rate, total T-cell count, and CD4+T/CD8+T ratio to evaluate the immune response and check for infection. Results Ten patients received 26 allogeneic tendons to reconstruct hand function. The average follow-up period was 50.0 months (range, 24–82 months). The TAM was 126.4° (12°–253°), pincer pinch strength was 0.83 kg (0–4.5 kg), and grip strength was 13.69 kg (4–41.5 kg). The DASH score was 14.25 (3.3–30.8), and seven and three patients were satisfied and partially satisfied, respectively. One patient developed tendon adhesion. All immune and infectious parameters were within the reference range. Conclusion Functional reconstruction using allogeneic tendons for severe hand injuries with multiple tendon defects was effective and safe; however, more research is needed.

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Uncommon Methods of Flexor Tendon and Tendon-Bone Repairs and Grafting

Cited by 15 publications

References 15 publications

The evidence-base for the management of flexor tendon injuries of the hand: Review

The evidence-base for the management of flexor tendon injuries of the hand: Review

Application of a modified dorsoulnar artery pedicle flap in the repair of thumb tip defects: A case report

Functional reconstruction of severe hand injuries using allogeneic tendons: a retrospective study

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