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Tendon 'turnover lengthening' technique.

S Cerovac¹, B H Miranda

¹St George's Healthcare NHS Trust, London, UK.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|July 2, 2013

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A new

Area of Science:

Orthopedic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Tendon reconstruction in the hand presents significant surgical challenges.
Existing methods like grafting and transfers have associated complications.
Direct tendon repair is not always feasible for substantial defects.

Observation:

A novel 'turnover lengthening' technique was developed for hand tendon defects.
This technique was successfully applied to two patients with flexor and extensor tendon ruptures.
Primary tenorrhaphy was not possible in these cases.

Findings:

The turnover lengthening technique achieved good post-operative outcomes in both patients.
Patients returned to normal daily activities within 12 weeks.

Keywords:

Hand Segmental defect Tendon defect Tendon gap Tendon lengthening Tendon reconstruction

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The technique is suitable for defects up to 3-4 cm, offering immediate, single-stage reconstruction.

Implications:

This method avoids the morbidity of tendon grafting and transfers.
It is a simple, reproducible technique for specific hand tendon defects.
It preserves options for salvage procedures if initial repair fails.