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Related Experiment Videos

Two-stage flexor-tendon reconstruction. Ten-year experience.

M A Wehbé, B Mawr, J M Hunter

    The Journal of Bone and Joint Surgery. American Volume
    |June 1, 1986
    PubMed
    Summary

    Two-stage flexor-tendon reconstruction significantly improved finger motion and grip strength in severe injuries. This salvage procedure offers a valuable solution for restoring hand function after complex tendon damage.

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    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Reconstructive Surgery

    Background:

    • Severe flexor tendon injuries, particularly in Zone 2, often require salvage procedures.
    • Previous functional status significantly impacts outcomes in flexor tendon reconstruction.

    Purpose of the Study:

    • To evaluate the efficacy of two-stage flexor-tendon reconstruction as a salvage procedure.
    • To assess functional recovery in terms of total active motion and grip strength.
    • To identify complications associated with this reconstructive technique.

    Main Methods:

    • A cohort of 136 patients with 150 injured fingers underwent two-stage flexor-tendon reconstruction.
    • Patients were followed for an average of 2.4 years post-operatively.
    • Functional outcomes including total active motion and grip strength were measured pre- and post-operatively.

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    Main Results:

    • Mean total active motion improved from 102 to 176 degrees.
    • Mean grip strength increased from 20% to 79% of normal.
    • Functional gains plateaued by three months post-surgery, with no significant further improvement.

    Conclusions:

    • Two-stage flexor-tendon reconstruction is an effective salvage procedure for restoring function in severely damaged fingers.
    • While effective, potential complications include flexion contracture, graft rupture, and infection.