1 Management of Complications of Flexor Tendon Surgery

2022 ◽  
Keyword(s):  
Flexor Tendon ◽  
Management Of Complications ◽  
Tendon Surgery

Influences on Flexor Tendon Rehabilitation

1998 ◽  
Vol 3 (1) ◽  
pp. 10-11
Author(s):  
Sheila Harris
Keyword(s):  
Flexor Tendon ◽  
Tendon Surgery

There have been many changes of thought regarding flexor tendon surgery and therapy during the last 80 years, most of them in the last 20 years. These changes have led and will continue to lead to the development of fewer ruptures and better results when these injuries are treated by experienced surgeons and therapists. We, as therapists, need to be aware of the preferred method of rehabilitation in our units.

Patterns of Cellular Activation after Tendon Injury

1996 ◽  
Vol 21 (6) ◽  
pp. 813-820 ◽  
Author(s):  
U. KHAN ◽  
J. C. W. EDWARDS ◽  
D. A. McGROUTHER
Keyword(s):  
Flexor Tendon ◽  
Rabbit Model ◽  
Early Period ◽  
Tendon Injury ◽  
Flexor Digitorum Profundus ◽  
Cellular Activation ◽  
Relative Response ◽  
Tendon Surgery ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

Mechanisms which lead to disabling adhesions following flexor tendon surgery of the hand were investigated in a rabbit model which was used to assess the relative response of the cells of the synovial sheath, epitenon and the endotenon to injury. A transverse laceration, cutting through 50% of the tendon, was made just outside the synovial sheath on the flexor aspect of the flexor digitorum profundus tendon. The synovial sheath was preserved intact. Using monoclonal antibodies for localizing specific inflammatory markers, we were able to follow the response and activity of the synovial sheath, epitenon and endotenon with respect to these markers at various times after surgery. Our findings suggest that the synovial sheath and the epitenon are relatively more reactive in the early period after injury, as judged by a range of inflammatory indices with the notable exception of the expression of the potent neovascularizing agent, basic fibroblast growth factor (bFGF).

Flexor tendon surgery: Advances in the field of hand surgery

2012 ◽  
Vol 153 (21) ◽  
pp. 811-820 ◽  
Author(s):  
Vilmos Bíró
Keyword(s):  
Flexor Tendon ◽  
Tendon Healing ◽  
Hand Surgery ◽  
Postoperative Treatment ◽  
Suture Materials ◽  
Flexor Tendon Injuries ◽  
Tendon Surgery ◽  
History Of ◽  
Detailed List ◽  
Near Future

Reconstruction of the flexor tendon injuries is one of the most difficult problems in hand surgery, because the postoperative end-results are often unfavorable. The author discusses the history of the flexor tendon surgery, and then he describes the development of the knowledge regarding the anatomy, the blood supply and the tendon healing of the flexor tendons from the beginning until now. After that he describes the development in suture materials, suture techniques, primary and secondary tendon reconstruction operations, postoperative treatment and rehabilitation programmes. The author describes what kind of progress to be expected in this field in the near future, and then he expresses his viewpoint about the development in the international and national hand surgical societies. He encloses a detailed list of literature for those who are interested in the field. Orv. Hetil., 2012, 153, 811–820.

A Lactoferrin Polypeptide (PXL01) Reduces Adhesion Formations after Flexor Tendon Surgery

2010 ◽  
Vol 35 (10) ◽  
pp. 18
Author(s):  
Monica E. Wiig ◽  
Kjell Olmarker ◽  
Joakim Håkansson ◽  
Lars Ekström ◽  
Margit Mahlapuu
Keyword(s):  
Flexor Tendon ◽  
Tendon Surgery

Management of Complications of Flexor Tendon Injuries

Hand Clinics ◽  
2015 ◽  
Vol 31 (2) ◽  
pp. 293-299 ◽  
Author(s):  
Nicholas Pulos ◽  
David J. Bozentka
Keyword(s):  
Flexor Tendon ◽  
Tendon Injuries ◽  
Management Of Complications ◽  
Flexor Tendon Injuries

Biomechanical comparisons of four-strand tendon repairs with double-stranded sutures: effects of different locks and suture geometry

2010 ◽  
Vol 36 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Y. F. Wu ◽  
Y. Cao ◽  
Y. L. Zhou ◽  
J. B. Tang
Keyword(s):  
Ultimate Strength ◽  
Flexor Tendon ◽  
Statistical Significance ◽  
The Other ◽  
Failure Pattern ◽  
Flexor Tendons ◽  
Tendon Surgery ◽  
Complete Failure ◽  
Almost All

Multi-strand repairs are often used in flexor tendon surgery. We evaluated the strength of four four-strand tendon repairs with different locks and suture geometry. Forty-eight pig flexor tendons were repaired with the following methods: a cross-lock four-strand repair; a U-shaped repair with circle-locks; a modified Kessler repair with Pennington locks (with longitudinal sutures located more centrally; and another modified Kessler (with longitudinal sutures located more laterally). The tendons were loaded to complete failure of the repairs. The two Kessler repairs showed a 35% lower 2 mm gap force, and 15% lower ultimate strength compared with the other two repairs; the differences were of statistical significance. The failure pattern was breakage of sutures in almost all tendons. These four-strand repairs differed in gapping and ultimate strengths. The Kessler-type repairs with different geometry in the longitudinal sutures produced identical strengths. The Kessler-type repairs with Pennington locks were weaker than the two repairs with either cross-locks or circle-locks.

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