A2 Flexor Tendon Pulley Reconstruction with Free Tendon Graft

Abstract Burn boutonniere deformity (BBD) treatment remains a challenge in reconstructive surgery. Severe hand defects after burn/trauma may be reconstructed with nonsalvageable or amputated tissue. The fillet flap (FF) is generally used as “spare parts” in the trauma algorithm for mangled extremities. This case study examines the use of a FF with concurrent repair of the adjacent finger extensor tendon with the amputated finger flexor tendon after burn injury. The goal is to provide adequate tissue coverage using a finger FF while concurrently reconstructing the central slip of the extensor tendon with the transposed flexor tendon from an adjacent nonfunctional digit. After reconstruction, no subluxation of the extensor tendon occurred with manipulation. Despite prolonged rehabilitation due to injuries, the surgical site healed appropriately. Single-stage FF reconstruction with vascularized tendon grafts should be considered in selected patients with BBD. This novel idea can be applied to the management of traumatized extremities.

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Paper #104 Biomechanical evaluations of the PCL reconstruction procedures with the multi-strand flexor tendon graft using displacement controlled cyclic testing

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/s0749-8063(03)00505-x ◽

2003 ◽

Vol 19 (6) ◽

pp. 55-56

Author(s):

Nobuto Kitamura ◽

Kazunori Yasuda ◽

Harukazu Tohyama ◽

Masanori Yamanaka

Keyword(s):

Flexor Tendon ◽

Tendon Graft ◽

Cyclic Testing ◽

Pcl Reconstruction ◽

Flexor Tendon Graft

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The Extended Palmaris Longus Tendon Graft

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(93)90118-y ◽

1993 ◽

Vol 18 (2) ◽

pp. 239-240 ◽

Cited By ~ 5

Author(s):

A. R. TOLAT ◽

J. K. STANLEY

Keyword(s):

Flexor Tendon ◽

Tendon Graft ◽

Longus Tendon ◽

Palmaris Longus ◽

Tendon Ruptures ◽

Palmar Aponeurosis ◽

Palmaris Longus Tendon

A technique is described of increasing the length of a palmaris longus tendon graft by including palmar aponeurosis. The additional 5 cm is often useful in treating high flexor tendon ruptures, especially at the wrist level, without the need for an additional incision.

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Evaluation of an Autologous Tendon Graft Repair Method for Gap Healing of the Deep Digital Flexor Tendon in Horses

Veterinary Surgery ◽

10.1111/j.1532-950x.1996.tb01423.x ◽

1996 ◽

Vol 25 (4) ◽

pp. 342-350 ◽

Cited By ~ 17

Author(s):

MIGUEL A. VALDÉS-VÁZQUEZ ◽

J. RAYMOND McCLURE ◽

JULIAN L. OLIVER III ◽

SANTOS RAMIREZ ◽

THOMAS L. SEAHORN ◽

...

Keyword(s):

Flexor Tendon ◽

Tendon Graft ◽

Repair Method ◽

Autologous Tendon Graft

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FLEXOR DIGITORUM PROFUNDUS TENDON RUPTURE ASSOCIATED WITH DISTAL RADIUS FRACTURE MALUNION: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810409004190 ◽

2009 ◽

Vol 14 (01) ◽

pp. 35-38 ◽

Cited By ~ 6

Author(s):

Takayuki Ishii ◽

Masayoshi Ikeda ◽

Yuka Kobayashi ◽

Joji Mochida ◽

Yoshinori Oka

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Tendon Rupture ◽

Flexor Tendon ◽

Corrective Osteotomy ◽

Tendon Graft ◽

Radius Fracture ◽

Flexor Digitorum Profundus ◽

Flexor Tendon Rupture ◽

Flexor Digitorum

We present a case of subcutaneous flexor tendon rupture of the index finger following malunion of a distal radius fracture. The cause of the tendon rupture was mechanical attrition due to a bony prominence at the palmar joint rim in the distal radius due to malunion. Corrective osteotomy and the Sauvé-Kapandji procedure were carried out for the wrist pain and forearm rotation disability and a tendon graft was carried out for the flexor tendon rupture. Recovery was satisfactory.

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Reconstruction of closed rupture of thumb flexor tendon pulleys with a single free palmaris longus tendon graft: A case report and review of literature

Chirurgie de la Main ◽

10.1016/j.main.2013.11.009 ◽

2014 ◽

Vol 33 (1) ◽

pp. 51-54 ◽

Cited By ~ 7

Author(s):

F. Fazilleau ◽

D. Cheval ◽

J. Richou ◽

D. Le Nen

Keyword(s):

Case Report ◽

Flexor Tendon ◽

Tendon Graft ◽

Review Of Literature ◽

Longus Tendon ◽

Palmaris Longus ◽

Closed Rupture ◽

Palmaris Longus Tendon

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Flexor Tendon Graft Attachment: A Review of Methods and A Newly Modified Tendon Graft Attachment

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(02)00362-5 ◽

2003 ◽

Vol 28 (2) ◽

pp. 116-120 ◽

Cited By ~ 21

Author(s):

S. WILSON ◽

D. SAMMUT

Keyword(s):

Flexor Tendon ◽

Tendon Graft ◽

Distal Phalanx ◽

Minimal Trauma ◽

Tendon Grafts ◽

Flexor Tendon Graft

A review of the described methods of attachment of flexor tendon grafts to the distal phalanx is presented. The authors advocate the previously described method of attachment consisting of passage of the tendon graft through the pulp with anchorage to the nail. A new modification of this technique is presented, facilitating accurate dissection and placement of the graft with minimal trauma.

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