The mechanical role of the digital fibrous sheath: Application to reconstructive surgery of the flexor tendons

1983 ◽  
Vol 5 (3) ◽  
pp. 187-197 ◽  
Author(s):  
J. F. Delattre ◽  
A. Ducasse ◽  
J. B. Flament ◽  
C. Kénési
Keyword(s):  
Reconstructive Surgery ◽  
Fibrous Sheath ◽  
Flexor Tendons

scholarly journals The regenerative role of adipose-derived stem cells (ADSC) in plastic and reconstructive surgery

2016 ◽  
Vol 14 (1) ◽  
pp. 112-124 ◽  
Author(s):  
Naghmeh Naderi ◽  
Emman J Combellack ◽  
Michelle Griffin ◽  
Tina Sedaghati ◽  
Muhammad Javed ◽  
...  
Keyword(s):  
Stem Cells ◽  
Reconstructive Surgery ◽  
Adipose Derived Stem Cells ◽  
Plastic And Reconstructive Surgery

Interrelated role of maxillofacial prosthetics and reconstructive surgery

1973 ◽  
Vol 126 (4) ◽  
pp. 496-501 ◽  
Author(s):  
Kenneth E. Salyer ◽  
Roy D. Rinkle ◽  
George W. Hahn ◽  
James G. Layton
Keyword(s):  
Reconstructive Surgery

Role of laparoscopy in reconstructive surgery

2010 ◽  
Vol 20 (6) ◽  
pp. 471-482 ◽  
Author(s):  
Jens Rassweiler ◽  
Giovannalberto Pini ◽  
Ali S Gözen ◽  
Jan Klein ◽  
Dogu Teber
Keyword(s):  
Reconstructive Surgery

scholarly journals Frailty and the Role of Obliterative versus Reconstructive Surgery for Pelvic Organ Prolapse: A National Study

2017 ◽  
Vol 197 (6) ◽  
pp. 1502-1506 ◽  
Author(s):  
Anne M. Suskind ◽  
Chengshi Jin ◽  
Louise C. Walter ◽  
Emily Finlayson
Keyword(s):  
Pelvic Organ Prolapse ◽  
Reconstructive Surgery ◽  
Pelvic Organ ◽  
National Study

Considerations in the surgical use of the flexor sheath and pulley system

2013 ◽  
Vol 39 (1) ◽  
pp. 54-59 ◽  
Author(s):  
A. G. Lowrie ◽  
V. C. Lees
Keyword(s):  
Reconstructive Surgery ◽  
Ligament Reconstruction ◽  
Middle Layer ◽  
Moment Arm ◽  
Pulley System ◽  
Tendon Transfers ◽  
Flexor Tendons ◽  
Cleft Hand ◽  
The Moment ◽  
A1 Pulley

The use of the digital flexor sheath to reconstruct damaged structures in the fingers is an intriguing but under-investigated subject. The sheath is anchored firmly to the phalanges and palmar plates and has well-vascularized outer and synovial inner layers. The middle layer is strong and fibrous and not all of it is required for its main biomechanical function of maintaining the moment arm of the flexor tendons. These characteristics have led to several descriptions of different reconstructive uses. In sheath reconstruction, flaps can be used to repair damaged A2 and A4 pulleys. As an anchor, the sheath is useful for tenodeses and tendon transfers. It has been used in the correction of ulnar claw and swan neck deformities. In ligament reconstruction, the A1 pulley has been used to reconstruct the transverse intermetacarpal ligament in cleft hand and ray amputations. The sheath has also been used to cover tendon repairs and periosteal defects with the aim of decreasing adhesions. There is potential for further use of the flexor sheath in reconstructive surgery. The digital flexor sheath can be used to restore various finger functions providing its physiological roles are recognized and preserved. This review considers the different techniques described and their potential uses.

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