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Flexor tendon lengthening in zone II injuries.
S Stahl1, J A Goldberg, A Lerner
1Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.
Annals of Plastic Surgery
|September 18, 1999
Summary
Primary repair of flexor tendons in zone II is now preferred over secondary procedures. A new, simple technique offers a safe and effective primary repair option, even with significant injuries or tendon gaps.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- The "no-man's-land" (Zone II) historically necessitated secondary flexor tendon repair due to repair complexity and poor outcomes.
- Primary repair of acute flexor tendon injuries in Zone II has become the standard, challenging existing protocols.
Purpose of the Study:
- To present a novel, simple, quick, and safe technique for primary flexor tendon repair in Zone II.
- To offer an alternative that avoids secondary procedures and tendon harvesting, even in cases with severe soft-tissue/bony compromise or tendon gaps.
Main Methods:
- Description of a straightforward surgical technique for primary flexor tendon repair in Zone II.
- Application of the technique in cases with severe injuries and flexor profundus tendon gaps.
Main Results:
- The described technique provides a viable option for primary flexor tendon repair.
- It simplifies the surgical process and potentially improves outcomes compared to traditional secondary procedures.
Conclusions:
- This technique offers a safe and effective method for primary flexor tendon repair in Zone II.
- It addresses limitations of previous methods, particularly in complex injury scenarios and tendon gaps.