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[Secondary flexor tendon reconstruction]
1Abteilung für Hand- und periphere Nervenchirurgie, Kantonsspital Basel.
Helvetica Chirurgica Acta
|January 1, 1992
Summary
Secondary flexor tendon repair is less common now, as primary repair in the "no man's land" shows better outcomes. This review covers various secondary reconstruction techniques for specific cases like injuries or failed primary repairs.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Context:
- Primary flexor tendon repair in the "no man's land" has become the preferred method due to improved success rates.
- Secondary flexor tendon reconstruction techniques were historically dominant but are now reserved for specific indications.
Purpose:
- To review and discuss the indications and techniques for various secondary flexor tendon reconstruction procedures.
- To provide an overview of alternative surgical options when primary repair is not feasible or has failed.
Summary:
- Secondary reconstruction encompasses delayed tenorrhaphy, tendon grafts, transplants, pulley reconstruction, tenodesis, and tendon transfers.
- Indications include overlooked injuries, infections, traumatic/septic defects, rheumatic ruptures, and failed primary repairs or tenolysis.
- The article details the specific procedures and their applicability in complex flexor tendon injuries.
Impact:
- Informs surgeons about the nuanced indications for secondary flexor tendon repair techniques.
- Highlights the evolution of flexor tendon repair strategies, emphasizing primary repair while detailing secondary options.
- Aids in decision-making for complex hand trauma and reconstructive scenarios.