scholarly journals Vascularized tendon graft to the central slip using a finger fillet flap

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Jonathan Rogozinski ◽  
R Michael Johnson
Keyword(s):  
Burn Injury ◽  
Flexor Tendon ◽  
Extensor Tendon ◽  
Tendon Graft ◽  
Spare Parts ◽  
Fillet Flap ◽  
Hand Defects ◽  
Central Slip ◽  
Trauma Algorithm

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.

Median Nerve as Free Tendon Graft

1987 ◽  
Vol 12 (2) ◽  
pp. 187-188
Author(s):  
M. VASTAMÄKI
Keyword(s):  
Median Nerve ◽  
Flexor Tendon ◽  
Extensor Tendon ◽  
Tendon Graft ◽  
Tendon Injury ◽  
Longus Tendon ◽  
Flexor Tendon Injury ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Sural Nerve Graft

Four patients are described, all of whom bad tendon injuries in which the median nerve was used as a free tendon graft. Three cases involved the repair of a flexor tendon injury, and one the repair of an extensor tendon. In all cases, reconstruction of the median nerve was performed with a free sural nerve graft. The difficulty was that the palmaris longus tendon was missing in all cases. The importance of preoperative clinical testing for the presence of the palmaris longus tendon is emphasized.

Tendon Entrapment in Distal Radius Fractures

2009 ◽  
Vol 34 (4) ◽  
pp. 479-482 ◽  
Author(s):  
M. OKAZAKI ◽  
K. TAZAKI ◽  
T. NAKAMURA ◽  
Y. TOYAMA ◽  
K. SATO
Keyword(s):  
Clinical Features ◽  
Distal Radius ◽  
Flexor Tendon ◽  
Extensor Tendon ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Extensor Tendons ◽  
Epiphyseal Fracture ◽  
Tendon Entrapment

We retrospectively defined the rate and clinical features of tendon entrapment in 693 consecutive patients with 701 distal radius fractures treated in a single hospital. Eight extensor tendons and one flexor tendon were entrapped. All fractures with extensor tendon entrapment were palmarly displaced (Smith type) or epiphyseal. Flexor tendon entrapment was seen in dorsally angulated (Colles type) epiphyseal fracture. The rate of tendon entrapment in acute distal radius fractures was 1.3%. Extensor tendon entrapment in palmarly displaced fractures is more common.

A2 Flexor Tendon Pulley Reconstruction with Free Tendon Graft

2018 ◽  
pp. 612-616
Author(s):  
Nasa Fujihara ◽  
Kevin C. Chung ◽  
Erika Davis Sears
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft

scholarly journals Additive manufacturing in the spare parts supply chain: hub configuration and technology maturity

2018 ◽  
Vol 24 (7) ◽  
pp. 1178-1192 ◽  
Author(s):  
Siavash H. Khajavi ◽  
Jan Holmström ◽  
Jouni Partanen
Keyword(s):  
Supply Chain ◽  
Additive Manufacturing ◽  
Spare Parts ◽  
Content Type ◽  
Local Manufacturing ◽  
Efficiency And Effectiveness ◽  
Industrial Operations ◽  
Production Configuration ◽  
Part Production

PurposeInnovative startups have begun a trend using laser sintering (LS) technology patents expiration, namely, by introducing LS additive manufacturing (AM) machines that can overcome utilization barriers, such as the costliness of machines and productivity limitation. The recent rise of this trend has led the authors to investigate this new class of machines in novel settings, including hub configuration. There are various supply chain configurations to supply spare parts in industrial operations. This paper aims to explore the promise of a production configuration that combines the benefits of centralized production with the flexibility of local manufacturing without the huge costs related to it.Design/methodology/approachThis study quantitatively examines the feasibility of different AM-enabled spare parts supply chain configurations. Using cost data extracted from a case study, three scenarios per AM machine technology are modeled and compared.FindingsResults suggest that hub production configuration depending on the utilized AM machines can provide economic efficiency and effectiveness to reduce equipment downtime. While previous studies have suggested the need for AM machines with efficiency for single part production for a distributed supply chain, the findings in this research illustrate the positive relationship between multi-part production capability and the feasibility of a hub manufacturing configuration establishment.Originality/valueThis study explores the promise of a production configuration that combines the benefits of centralized production with the flexibility of local manufacturing without the huge costs related to it. Although the existing body of knowledge contains research on production decentralization, research on various levels of decentralization is lacking. Using a real-world case study, this study aims to compare the feasibility of different levels of decentralization for AM-enabled spare parts supply chains.

scholarly journals Biomechanical evaluation of flexor tendon graft with different repair techniques and graft surface modification

2015 ◽  
Vol 33 (5) ◽  
pp. 731-737 ◽  
Author(s):  
Jingheng Wu ◽  
Andrew R. Thoreson ◽  
Ramona L. Reisdorf ◽  
Kai-Nan An ◽  
Steven L. Moran ◽  
...  
Keyword(s):  
Surface Modification ◽  
Flexor Tendon ◽  
Tendon Graft ◽  
Biomechanical Evaluation ◽  
Flexor Tendon Graft ◽  
Repair Techniques

scholarly journals The relative compliance of energy-storing tendons may be due to the helical fibril arrangement of their fascicles

2017 ◽  
Vol 14 (133) ◽  
pp. 20170261 ◽  
Author(s):  
Tom Shearer ◽  
Chavaunne T. Thorpe ◽  
Hazel R. C. Screen
Keyword(s):  
Flexor Tendon ◽  
Extensor Tendon ◽  
Mechanical Tension ◽  
Superficial Digital Flexor Tendon ◽  
Microstructural Model ◽  
And Function ◽  
Nonlinear Elastic ◽  
The Mathematical Model ◽  
The Relationship ◽  
Fitting Parameters

A nonlinear elastic microstructural model is used to investigate the relationship between structure and function in energy-storing and positional tendons. The model is used to fit mechanical tension test data from the equine common digital extensor tendon (CDET) and superficial digital flexor tendon (SDFT), which are used as archetypes of positional and energy-storing tendons, respectively. The fibril crimp and fascicle helix angles of the two tendon types are used as fitting parameters in the mathematical model to predict their values. The outer fibril crimp angles were predicted to be 15.1° ± 2.3° in the CDET and 15.8° ± 4.1° in the SDFT, and the average crimp angles were predicted to be 10.0° ± 1.5° in the CDET and 10.5° ± 2.7° in the SDFT. The crimp angles were not found to be statistically significantly different between the two tendon types ( p = 0.572). By contrast, the fascicle helix angles were predicted to be 7.9° ± 9.3° in the CDET and 29.1° ± 10.3° in the SDFT and were found to be statistically highly significantly different between the two tendon types ( p < 0.001). This supports previous qualitative observations that helical substructures are more likely to be found in energy-storing tendons than in positional tendons and suggests that the relative compliance of energy-storing tendons may be directly caused by these helical substructures.

scholarly journals SUPPLY CHAIN MANAGEMENT INDUSTRY TANNERY IN GARUT INDONESIA

2019 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Yusuf Tojiri ◽  
Imas Komariyah
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Customer Value ◽  
Qualitative Method ◽  
Single Case ◽  
Spare Parts ◽  
Raw Material ◽  
Chain Management ◽  
Depth Interviews

This research was conducted in the Tannery Industry in Garut – Indonesia, about suplly chain management, research methods using qualitative method, with a single case study. In this case study researchers collecting data through observation, interviews and in-depth interviews with entrepreneurs, academics and expert tannery. Supply Chain Management, in this case, describe the process of delivery of the goods from the supplier, and then processed by the industry, the result posted by the distributor to the subscriber. The Supply Chain Management must provide a level of efficiency in the process of delivering customer value, so that customers can be more satisfied, or in other words from the center (supplier), Company, Chanels (distribution) and Customer (4C). Supply Chain Management will be effective in improving the competitiveness of the industry, either by the supplier of the raw material leather, leather chemicals, leather production machinery, spare parts, and also any other relevant parties if able to improve cooperation between the core industry, supporting industry, and related industry is strong, so each others corroborate (linkage), as well as the distribution of goods to the customer must be of high quality and on time.

Common Extensor Tendon/Common Flexor Tendon

Tendinopathy ◽  
2021 ◽  
pp. 55-70
Author(s):  
Allison Schroeder ◽  
Kentaro Onishi ◽  
Scott Joshua Szabo
Keyword(s):  
Flexor Tendon ◽  
Extensor Tendon
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