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

Tang JB - Clin Orthop Surg (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, China.

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.

No MeSH data available.


Related in: MedlinePlus

Follow-up at six months after surgery. (A) Full range of active extension of the left middle finger was achieved without extension deficits of the finger joints. (B) Full range of active flexion.
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Figure 8: Follow-up at six months after surgery. (A) Full range of active extension of the left middle finger was achieved without extension deficits of the finger joints. (B) Full range of active flexion.

Mentions: The exercise should persist for about 10 to 12 weeks after surgery. Many patients need further extension exercises because of some extension or flexion lags, which can be corrected in subsequent exercises. We inform the patient that improvement is possible even months after repair (Fig. 8), and persistent exercises of up to 5 or 6 month may still show improvement of function.


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

Tang JB - Clin Orthop Surg (2015)

Follow-up at six months after surgery. (A) Full range of active extension of the left middle finger was achieved without extension deficits of the finger joints. (B) Full range of active flexion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553273&req=5

Figure 8: Follow-up at six months after surgery. (A) Full range of active extension of the left middle finger was achieved without extension deficits of the finger joints. (B) Full range of active flexion.
Mentions: The exercise should persist for about 10 to 12 weeks after surgery. Many patients need further extension exercises because of some extension or flexion lags, which can be corrected in subsequent exercises. We inform the patient that improvement is possible even months after repair (Fig. 8), and persistent exercises of up to 5 or 6 month may still show improvement of function.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, China.

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.

No MeSH data available.


Related in: MedlinePlus