The Role of Cross-Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries

1988 ◽  
Vol 13 (1) ◽  
pp. 62-65
Author(s):  
D. T. GAULT ◽  
A. A. QUABA

This is a report of five patients who sustained untidy division of flexor tendons in zones 1 and 2, associated with overlying soft tissue loss. Contrary to traditional teaching, the tendon injuries were repaired primarily, and the tissue loss was made good with a cross-finger flap. At final evaluation, three cases were assigned excellent grades and two cases fair grades by Kleinert criteria. This unexpectedly favourable outcome may be due to a quality of the inner surface of the cross-finger flap and/or to staggering of the skin and tendon suture lines.

1993 ◽  
Vol 18 (3) ◽  
pp. 408-408
Author(s):  
D. T. Gault ◽  
A. A. Quaba

This is a report of five patients who sustained untidy division of flexor tendons in zones 1 and 2, associated with overlying soft tissue loss. Contrary to traditional teaching, the tendon injuries were repaired primarily, and the tissue loss was made good with a cross-finger flap. At final evaluation, three cases were assigned excellent grades and two cases fair grades by Kleinert criteria. This unexpectedly favourable outcome may be due to a quality of the inner surface of the cross-finger flap and/or to staggering of the skin and tendon suture lines.


Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 13-17 ◽  
Author(s):  
Masaharu Yagi ◽  
Yasuhiro Mitsui ◽  
Masafumi Gotoh ◽  
Naoto Sato ◽  
Kenji Yoshida ◽  
...  

Flexor tendons of white Leghorn chickens (n = 25) were used for this study. One chicken was used as a normal control (no surgery), and the remaining 24 were used for experiments. After partial tendon-severing in both legs of 24 chickens, the right and the left leg were treated differently, thereby creating two groups: Group I, in which the tenosynovium was preserved, and Group II, in which the tenosynovium was removed. Hematoxylin-eosin staining was performed to observe adhesions; immunohistochemical analysis was used to localize HA. HA production was noted in granulation tissue invading between the tendon stumps in both groups; however, HA expression in the tenosynovium was observed only in Group I where adhesion formation was minimal. The HA-producing tenosynovium plays a crucial role in preventing adhesion formation in this model of flexor tendon injuries.


1994 ◽  
Vol 19 (1) ◽  
pp. 76-80 ◽  
Author(s):  
N. CORDUFF ◽  
R. JONES ◽  
J. BALL

We have reviewed 22 flexor tendon repairs in zone 1 undertaken in Hobart, Tasmania, during the period 1986 to 1991. The repairs were assessed using both ultrasound and Strickland’s clinical criteria. The results are presented, and the two methods of assessment compared. A new method of grading results is proposed based on the ultrasound findings. We have demonstrated that ultrasound has an important role to play in assessing tendon repairs, both in the on-going management and as an objective method of measuring the results of repair.


2008 ◽  
Vol 33 (4) ◽  
pp. 430-434 ◽  
Author(s):  
K. JEYAPALAN ◽  
M. A. BISSON ◽  
J. J. DIAS ◽  
Y. GRIFFIN ◽  
R. BHATT

The use of ultrasound scanning to establish tendon pathologies was assessed retrospectively in 17 patients in 18 digits. The ultrasound scan demonstrated four patterns: (1) normal intact tendons in four, (2) ruptured tendons in three, (3) tendons in continuity but attenuated in five and (4) tendons in continuity but thickened with fibrosis and decreased movement representing adhesions in five patients. Surgery was undertaken in only three cases, confirming the ultrasound diagnosis in two. Surgery was offered to all three patients with ruptures but was declined by two. Ultrasound imaging helped to avoid surgery in 14 cases by excluding flexor tendon re-ruptures. This allowed on-going mobilisation, leading to recovery of function.


2020 ◽  
Vol 106 (6) ◽  
Author(s):  
Bekhet CN ◽  
Abdelghaffar MK ◽  
Nassef MA ◽  
Khattab RT

2021 ◽  
Vol 13 (4) ◽  
pp. 293-302
Author(s):  
P Roshan Kumar ◽  
N Kalavathy ◽  
Mitha M Shetty ◽  
Archana K Sanketh ◽  
Anuradha Venkataramani ◽  
...  

Rhino-cerebral mucormycosis, a fateful fungal infection which was commonly known to affect the immunocompromised patients, is now thriving in conjunction with Corona virus disease 2019 (COVID-19). Early diagnosis and aggressive medical and surgical intervention are the key factors to extricate the patients. However, this leads to abundant hard and soft tissue loss, leaving behind a huge orofacial defect, along with certain morbidities and psychological trauma, necessitating surgical and prosthodontic rehabilitation. The present paper reviews on role of prosthodontist in various stages of treatment for mucormycosis patients. It also summarizes several treatment modalities including recent trends to rehabilitate the defect and restore the patients’ quality of life.


Author(s):  
Chris Nabil Hanna Bekhet ◽  
Maha Khaled Abdel Ghaffar ◽  
Mohamed Amin Nassef ◽  
Rasha Tolba Khattab

Sign in / Sign up

Export Citation Format

Share Document