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Atraumatic Flexor tendon retrieval- a simple method.

Muhammed Besir Ozturk¹, Salih Onur Basat, Turgut Kayadibi

¹Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, İstanbul, Turkey. muhammedozturk@msn.com.

Annals of Surgical Innovation and Research

|September 18, 2013

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A new technique using a feeding tube conduit simplifies retrieving retracted flexor tendons in zone 2 injuries. This method avoids damage to the tendon and sheath, improving surgical outcomes for hand injuries.

Area of Science:

Orthopedic Surgery
Hand Surgery
Traumatology

Background:

Zone 2 flexor tendon injuries pose significant challenges for hand surgeons.
Meticulous repair is crucial to prevent adhesions and ruptures.
Retraction of severed tendons necessitates difficult retrieval techniques.

Purpose of the Study:

To present a simple, atraumatic technique for retrieving retracted flexor tendons in zone 2.
To facilitate passage of the proximal tendon stump through the pulley system.

Main Methods:

A novel technique using a 14-gauge plastic feeding tube as a conduit.
Suturing the proximal tendon stump at the distal palmar crease with 3-0 polypropylene suture.
Using the feeding tube to guide a straightened needle for tendon retrieval.

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Main Results:

The technique was successfully used 21 times without complications.
No suture breakage occurred during tendon passage.
No needle breakage due to bending was observed.

Conclusions:

The described technique is simple and effective for retrieving retracted flexor tendon stumps.
It minimizes damage to the tendon stump and tendon sheath.
This method offers a safe approach for zone 2 flexor tendon repair.