Early Active Mobilization of Primary Repairs of the Flexor Pollicis Longus Tendon with Two Kessler Two-Strand Core Sutures and a Strengthened Circumferential Suture

2004 ◽  
Vol 29 (6) ◽  
pp. 531-535 ◽  
Author(s):  
M. SIROTAKOVA ◽  
D. ELLIOT
Keyword(s):  
Primary Repair ◽  
Early Mobilization ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Active Mobilization ◽  
Flexor Pollicis Longus Tendon

This study reports our treatment of divided flexor pollicis longus (FPL) tendons by primary repair from 1999 to 2002. Forty-eight FPL repairs were performed using two Kessler two-strand repairs with a cross-linked Silfverskiöld circumferential suture. All were rehabilitated by early active mobilization. Excellent or good results were observed in 73/77% of cases (White/Buck–Gramcko assessments, respectively). No patients (0%) ruptured their repair as a result of early active mobilization. Two patients (4%) developed post-operative infections with wound and tendon dehiscence. This combination of repairs addresses the problem of rupture of FPL during early mobilization which we experienced in previous studies. Its problems and alternatives are discussed.

Flexor pollicis longus primary repair: further experience with the tang technique and controlled active mobilization

2009 ◽  
Vol 34 (6) ◽  
pp. 758-761 ◽  
Author(s):  
T. GIESEN ◽  
M. SIROTAKOVA ◽  
A. J. COPSEY ◽  
D. ELLIOT
Keyword(s):  
Primary Repair ◽  
Pain Syndrome ◽  
Syndrome Type ◽  
Flexor Pollicis Longus ◽  
Postoperative Infections ◽  
Longus Tendon ◽  
Chronic Regional Pain Syndrome ◽  
Active Mobilization ◽  
Flexor Pollicis Longus Tendon

This study reports our treatment of divided flexor pollicis longus tendons by primary repair from January 2004 to September 2007. Fifty flexor pollicis longus repairs carried out using the Tang technique of three Tsuge sutures are reported in this study. A circumferential suture was not used routinely. Excellent or good results were observed in 78/82% of cases (White/Buck-Gramcko assessments, respectively). No patients ruptured repairs as a result of early active mobilization. No patients developed postoperative infections with wound and tendon dehiscence. One patient developed Chronic Regional Pain Syndrome Type 1. We have found this repair of the flexor pollicis longus tendon to be safe for early active mobilization and it is easier to perform than primary repair of this tendon using four strand Kessler-type core sutures and elaborate circumferential sutures, as reported previously.

Early Active Mobilization of Primary Repairs of the Flexor Pollicis Longus Tendon

1999 ◽  
Vol 24 (6) ◽  
pp. 647-653 ◽  
Author(s):  
M. SIROTAKOVA ◽  
D. ELLIOT
Keyword(s):  
Primary Repair ◽  
Flexor Pollicis Longus ◽  
Active Motion ◽  
Longus Tendon ◽  
Rupture Rate ◽  
Active Mobilization ◽  
Group 2 ◽  
Flexor Pollicis Longus Tendon ◽  
Methods Of Treatment

This study reports the treatment of divided flexor pollicis longus (FPL) tendons from 1989 to 1998. The first 30 patients, in whom the tendon was repaired with a Kessler suture and simple epitendinous suture and mobilized using early active motion with only the thumb splinted, achieved 70/73% (White/Buck-Gramcko assessments respectively), excellent or good results and a rupture rate of 17%. The next 39 patients underwent the same treatment but in a splint with the thumb position altered and the fingers also splinted, with 67/72% excellent or good results and a rupture rate of 15%. The next 49 patients underwent repair with a Kessler suture and a reinforced epitendinous suture and the same mobilization as group 2, with 76/80% excellent or good results and a rupture rate of 8%. The final combination of repair and early active mobilization for primary repair of FPL tendons compares favourably with previous methods of treatment.

Flexor Pollicis Longus Tendon Ruptures after Palmar Plate Fixation of Fractures of the Distal Radius

2009 ◽  
Vol 34 (4) ◽  
pp. 471-474 ◽  
Author(s):  
J. A. CASALETTO ◽  
D. MACHIN ◽  
R. LEUNG ◽  
D. J. BROWN
Keyword(s):  
Standard Treatment ◽  
Plate Fixation ◽  
Flexor Pollicis Longus ◽  
Distal Radial Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Palmar Plate ◽  
Tendon Ruptures ◽  
Flexor Pollicis Longus Tendon ◽  
Palmar Plate Fixation

Palmar plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. Although palmar plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, the majority of reported cases pre-date the use of newer anatomically precontoured locking plates. In this paper seven cases of FPL rupture are presented. This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested.

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