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Updated: Jul 2, 2026
06:36
A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
2.9K
Non-absorbable Suture-Loaded Anchors for Finger Pulley Reconstruction
Francisco Rodriguez Fontan1,2, Renzo Laynes2, Frank Scott2
1Faculty of Medicine, Universidad de Buenos Aires, Buenos Aires, ARG.
Cureus
|July 1, 2024
Summary
A previous A1 pulley surgery led to an unintended A2 pulley injury, causing significant scarring and limited finger motion. Reconstruction with synthetic sutures may improve outcomes in similar complex hand injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- A 59-year-old female patient presented with complications after prior surgery for triggering and mallet deformity.
- Previous procedures included A1 pulley release and distal interphalangeal joint surgery on the left long and small fingers.
Observation:
- The patient experienced limited finger mobility, flexion contracture, and extension difficulty in the left long finger.
- Examination revealed an iatrogenic A2 pulley injury with substantial scar tissue formation.
Findings:
- Surgical intervention involved scar tissue excision and A2 pulley reconstruction using suture tape anchors.
- The case demonstrated a negative outcome from an unintended A2 pulley injury following A1 pulley release, leading to scarring and intrinsic plus posture.
Implications:
- This case highlights potential complications of pulley surgery and the importance of precise surgical technique.
- The use of non-absorbable synthetic sutures may be beneficial in minimizing scarring and facilitating early range of motion in complex flexor tendon sheath injuries.
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