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Related Experiment Videos

Pulley reconstruction using palmaris longus autograft after repeat trigger release.

R A Kaufmann1, C A Pacek

  • 1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. kaufmannra@upmc.edu

Journal of Hand Surgery (Edinburgh, Scotland)
|February 24, 2006
PubMed
Summary

Revision trigger release surgery can cause flexor tendon bowstringing, limiting finger flexion. A double loop pulley reconstruction with a palmaris longus graft successfully restored active flexion in a patient.

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Area of Science:

  • Hand surgery
  • Orthopedic surgery
  • Reconstructive surgery

Background:

  • Trigger release surgery is a common procedure for trigger finger.
  • Complications can arise, including tendon issues and limited range of motion.
  • Revision surgery carries a higher risk of complications.

Observation:

  • A patient presented with limited active finger flexion after revision trigger release surgery.
  • The limitation was attributed to bowstringing of the flexor tendons.
  • This complication significantly impacted the patient's hand function.

Findings:

  • Bowstringing of flexor tendons can lead to significant post-operative functional deficits.
  • A double loop pulley reconstruction technique was employed to address the tendon bowstringing.

Related Experiment Videos

  • The procedure utilized a palmaris longus autograft for reconstruction.

    • Implications:

    • Double loop pulley reconstruction is an effective method for correcting flexor tendon bowstringing.
    • Palmaris longus autograft is a viable option for tendon reconstruction in hand surgery.
    • This case highlights the importance of recognizing and managing tendon complications after trigger release surgery.