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[Finger flexor tenolysis].

A Breton1, G Dautel1

  • 1Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Gallé, 4, rue Hermitte, 54000 Nancy, France.

Chirurgie De La Main
|October 5, 2014
PubMed
Summary
This summary is machine-generated.

Flexor tenolysis surgery releases adhesions in zone II to restore tendon function and active motion. Early mobilization is crucial, but patients must be warned about the risk of flexor digitorum profundus rupture.

Keywords:
AdhesionsAdhérencesFlexor tendonsFléchisseursTenolysisTénolyse

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Context:

  • Flexor tendon adhesions in zone II are a frequent complication following hand injuries.
  • These adhesions impede tendon gliding, limiting active range of motion.
  • Restoring tendon function requires surgical intervention, specifically flexor tenolysis.

Purpose:

  • To describe the procedure of flexor tenolysis for releasing adhesions in zone II.
  • To emphasize the critical role of early active mobilization post-surgery.
  • To highlight the necessary pre-operative considerations and potential complications.

Summary:

  • Flexor tenolysis involves surgically releasing adhesions around the flexor tendons in zone II.
  • This procedure aims to restore the natural path of the tendon and improve active range of motion.
  • Concurrent early active mobilization is essential for optimal outcomes.
  • Any surgical procedures that could impede mobilization must precede tenolysis.
  • Patients must be counseled on the risk of flexor digitorum profundus rupture, the primary complication.

Impact:

  • Facilitates the restoration of hand function after flexor tendon injuries.
  • Provides guidance on optimizing surgical timing and post-operative rehabilitation protocols.
  • Enhances patient understanding of the risks associated with flexor tenolysis, particularly tendon rupture.