scholarly journals Six-Strand Flexor Pollicis Longus Tendon Repairs With and Without Circumferential Sutures: A Multicenter Study

Hand ◽  
2022 ◽  
pp. 155894472110572
Author(s):  
Géraldine Lautenbach ◽  
Marco Guidi ◽  
Bernadette Tobler-Ammann ◽  
Vera Beckmann-Fries ◽  
Elisabeth Oberfeld ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Tendon Repair ◽  
Suture Technique ◽  
Flexor Pollicis Longus ◽  
Postoperative Rehabilitation ◽  
Active Motion ◽  
Treatment Groups ◽  
Longus Tendon ◽  
Outcome Measurements ◽  
Flexor Pollicis Longus Tendon

Background: The purpose of this study is to assess outcomes in flexor pollicis longus tendon repairs with 6-strand core sutures with and without circumferential sutures. Methods: A 6-strand core suture technique with and without circumferential sutures was used. Thirty-three patients were summarized in the C group (circumferential group) and 16 patients in the NC group (non-circumferential group). After the surgery, the wrist was stabilized with a dorsal blocking splint and a controlled early active motion protocol was applied. At weeks 6, 13, and 26 data on demographics, type of injury, surgery, postoperative rehabilitation, complications such as re-rupture and the following outcome measurements were collected: range of motion and its recovery according to the Tang criteria, Kapandji score, thumb and hand strengths, Disabilities of the Arm, Shoulder and Hand score, and satisfaction. Results: There were no significant differences in range of motion and strength between the 2 treatment groups. In both groups, the outcome measurements increased over time and they expressed similar satisfaction with the surgical treatment. In 4 patients of the C group tendon repair ruptured and in 1 patient of the NC group. Conclusions: Six-strand repair technique is an effective procedure to assure early active motion after flexor pollicis longus tendon injuries and good results can also be achieved by omitting the circumferential suture.

“I-P Flexor Lag” after Thumb Flexor Reconstruction — Causes and Solution

HAND ◽  
1980 ◽  
Vol os-12 (2) ◽  
pp. 167-172 ◽  
Author(s):  
David B. Apfelberg ◽  
Morton R. Maser ◽  
Harvey Lash ◽  
Leo Keoshian
Keyword(s):  
Range Of Motion ◽  
Flexor Pollicis Longus ◽  
Reconstructive Procedures ◽  
Significant Percentage ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon

A small but significant percentage of thumbs fail to regain complete range of motion after reconstructive procedures designed to replace lost function of the flexor pollicis longus tendon. A characteristic but little noted posture and attitude of metacarpophalangeal flexion with loss of interphalangeal motion and metacarpophalangeal stabilisation with restoration of interphalangeal motion is described. (“I-P flexion lag”—I.P.F.L.) Clinical causes include shortening of the muscle-tendon unit, loss of pulleys with bowstringing, adhesions and hypermobile joints.

Rupture of Flexor Pollicis Longus as a Complication of Colles’ Fracture: A Case Report

1990 ◽  
Vol 15 (3) ◽  
pp. 370-372
Author(s):  
J. O. ROBERTS ◽  
P. J. REGAN ◽  
A. H. N. ROBERTS
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
Functional Result ◽  
Tendon Repair ◽  
Tendon Graft ◽  
Flexor Pollicis Longus ◽  
Good Functional Result ◽  
Longus Tendon ◽  
Colles Fracture ◽  
Flexor Pollicis Longus Tendon

A case of flexor pollicis longus tendon rupture as a complication of a Colles’ fracture in a 17-year-old male is described. Tendon repair by means of a one-stage tendon graft produced a good functional result.

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.

FACTORS INFLUENCING PROGNOSIS AFTER DIRECT REPAIR OF THE FLEXOR POLLICIS LONGUS TENDON: MULTIVARIATE REGRESSION MODEL ANALYSIS

Hand Surgery ◽  
2002 ◽  
Vol 07 (02) ◽  
pp. 171-176 ◽  
Author(s):  
Toshihiko Kasashima ◽  
Hiroyuki Kato ◽  
Akio Minami
Keyword(s):  
Regression Model ◽  
Tendon Repair ◽  
Multivariate Logistic Regression Model ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Early Motion ◽  
Motion Exercise ◽  
Passive Flexion ◽  
Zone Ii ◽  
Flexor Pollicis Longus Tendon

Few studies have focused on the relevance of early motion exercise on repair of the flexor pollicis longus tendon. We evaluated 29 patients with flexor pollicis longus tendon lacerations treated by direct end-to-end suture, and statistically assessed the clinical factors that influenced the results by using a multivariate logistic regression model. Association with age, vascular damage and timing of repair did not affect the results. Patients with flexor pollicis longus tendon lacerations in zone II or with the tendon stumps retracted proximally had a significantly high risk of unsatisfactory results. Postoperative passive flexion and active extension exercise using rubber bands significantly decreased the risk of unsatisfactory results in these conditions. Results of this study indicate that early postoperative motion is useful after every FPL tendon repair, particularly in patients with zone II laceration or retraction of the proximal tendon stump.

Flexor Pollicis Longus Tendon Repair: A Comparison Between Dynamic and Static Splintage

1989 ◽  
Vol 14 (4) ◽  
pp. 412-415
Author(s):  
N. J. PERCIVAL ◽  
P. J. SYKES
Keyword(s):  
Retrospective Review ◽  
Tendon Repair ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon

A retrospective review of 51 patients with isolated flexor pollicis longus tendon repairs has been undertaken to determine the value of post-operative splintage. Evaluation by the Buck-Gramcko criteria confirms the benefit of controlled dynamic mobilisation. Overall, 44% of patients treated by immobilisation post-operatively achieved good or excellent results compared with 60% treated by dynamic traction. For repairs in zone 2, the results of mobilisation were significantly better, 62% achieving good or excellent results compared to 33% treated by fixed splintage.

scholarly journals Six-Strand Core Repairs Ensure Early Active Motion and Satisfactory Functional Return of the Flexor Pollicis Longus Tendon

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 98S-99S
Author(s):  
Zhang Jun Pan ◽  
Jun Qin ◽  
Xiang Zhou ◽  
Xiang Rong Li ◽  
Jin Bo Tang
Keyword(s):  
Flexor Pollicis Longus ◽  
Active Motion ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon

Correction of Wassel type IV thumb duplication with zigzag deformity: results of a new method of flexor pollicis longus tendon relocation

2012 ◽  
Vol 38 (3) ◽  
pp. 272-280 ◽  
Author(s):  
C. H. Lee ◽  
H. Y. Park ◽  
J. O. Yoon ◽  
K. W. Lee
Keyword(s):  
Treatment Algorithm ◽  
Suture Technique ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Type Iv ◽  
Pull Out ◽  
Thumb Duplication ◽  
Flexor Pollicis Longus Tendon ◽  
Pull Out Suture

The purpose of this study is to present a treatment algorithm and a method of flexor pollicis longus tendon relocation for Wassel type IV thumb duplication with zigzag deformity. Forty-two thumbs in 42 patients were included in this study and the mean follow-up was 4 years. In addition to excision of the extra digit, tendon relocation and metacarpal and/or proximal phalangeal osteotomy were carried out, based on the degree of angulation at the metacarpophalangeal and interphalangeal joints. Tendon relocation was achieved using our pull-out suture technique. The results were assessed using an evaluation form for thumb polydactyly provided by the Japanese Society for Surgery of the Hand. At the time of latest clinical contact, eight cases were rated good, 31 cases fair, and three cases poor. It is useful to decide surgical procedures according to the degree of angulation of the metacarpophalangeal and interphalangeal joints and flexor pollicis longus tendon relocation is important to prevent malalignment at the interphalangeal joint.

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