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Updated: Aug 29, 2026
A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
Published on: May 26, 2026
[Infections of flexor tendon sheath - treatment and results]
1Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Zentrum für Schwerbrandverletzte, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg. M.Voellinger@BUK-Hamburg.de
Abstract:
Infections of the flexor tendon sheath are rare. We report on 49 patients who were treated in a five-year period from 1996 to 2000. The follow-up period was 45 months on average. We used an extensive skin incision for revision and regularly placed gentamycin-PMMA-chains in the wound. All patients were treated as inpatients. We achieved good and excellent results in 85% of patients.
Insights
Infections of the flexor tendon sheath are rare but treatable. This study found that extensive skin incision and gentamycin-PMMA chains led to good or excellent outcomes in 85% of patients.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Hand Surgery
Background:
- Infections of the flexor tendon sheath are uncommon but can lead to significant morbidity.
- Prompt and effective treatment is crucial for optimal patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of a specific treatment protocol for flexor tendon sheath infections.
- To report outcomes in a cohort of patients treated over a defined period.
Main Methods:
- Retrospective analysis of 49 patients treated between 1996 and 2000.
- Treatment involved extensive skin incision for revision surgery.
- Gentamicin-polymethylmethacrylate (PMMA) chains were regularly placed in the wound.
- All patients received inpatient care.
Main Results:
- A follow-up period averaged 45 months.
- Good and excellent results were achieved in 85% of the treated patients.
- The described treatment approach demonstrated high efficacy.
Conclusions:
- The combination of extensive skin incision and gentamycin-PMMA chains is an effective treatment for flexor tendon sheath infections.
- This protocol can lead to favorable outcomes in a high percentage of patients.
- Further research may explore variations in surgical approach and antibiotic delivery.
