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Polytetrafluoroethylene (PTFE) as a Suture Material in Tendon Surgery
Published on: October 6, 2022
Tendon injuries of the hand
Volker Schöffl1, Andreas Heid, Thomas Küpper
1Volker Schöffl, Department of Sportorthopedics and Sportsmedicine, Klinikum Bamberg, 96049 Bamberg, Germany.
World Journal of Orthopedics
|June 22, 2012
Summary
Hand tendon injuries are common in orthopedic trauma. Early passive movement aids flexor tendon healing, and hyaluronic acid may offer further benefits.
Area of Science:
- Orthopedic Surgery
- Hand Trauma
- Musculoskeletal Injuries
Background:
- Tendon injuries represent the second most frequent hand injuries, significantly impacting trauma and orthopedic patient care.
- Common injuries include open flexor or extensor tendon damage, alongside less frequent but critical issues like tendon sheath/pulley damage and dull avulsions.
- Accurate diagnosis relies on clinical examination, supplemented by advanced imaging techniques such as ultrasound and magnetic resonance imaging.
Purpose of the Study:
- To review diagnostic and therapeutic strategies for hand tendon injuries.
- To discuss the role of early passive movement in postoperative flexor tendon rehabilitation.
- To evaluate the potential of various substances in enhancing intrinsic tendon healing.
Main Methods:
- Review of clinical examination findings in hand tendon injuries.
- Analysis of diagnostic utility of ultrasound and magnetic resonance imaging.
- Evaluation of surgical versus conservative treatment protocols based on injury type.
- Assessment of postoperative rehabilitation principles, including early passive motion.
- Review of studies investigating pharmacological agents for tendon healing enhancement.
Main Results:
- Surgical repair is the primary treatment for most tendon injuries.
- Conservative management is indicated for dull avulsions of the distal phalanges extensor tendon, flexor tendon sheath injuries, and single pulley injuries.
- Multiple pulley injuries necessitate surgical intervention.
- Early passive movement post-surgery is crucial for promoting intrinsic tendon healing and optimal outcomes.
- Limited evidence supports most substances in improving tendon healing, though hyaluronic acid shows potential.
Conclusions:
- Effective management of hand tendon injuries requires accurate diagnosis and tailored treatment strategies.
- Postoperative rehabilitation, particularly early passive motion, is vital for successful flexor tendon repair.
- While evidence is limited, hyaluronic acid presents a promising adjunct for enhancing intrinsic tendon healing.
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