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Staged tendon reconstruction.

L H Schneider

    Hand Clinics
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Severely injured flexor tendons can be repaired using a two-stage surgery. First, a silicone implant rebuilds the system, followed by a tendon graft replacement in the second stage.

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    Area of Science:

    • Orthopedic Surgery
    • Reconstructive Surgery
    • Biomaterials in Medicine

    Background:

    • Flexor tendon injuries often require complex reconstructive procedures.
    • Salvaging severely damaged flexor tendon systems presents significant clinical challenges.

    Purpose of the Study:

    • To outline a staged surgical approach for the reconstruction of severely injured flexor tendon systems.
    • To describe the use of a passive silicone rubber implant followed by tendon grafting.

    Main Methods:

    • Stage 1 involves rebuilding the tendon system with a passive silicone rubber implant.
    • Stage 2 consists of replacing the silicone implant with a biological tendon graft.

    Main Results:

    • This staged procedure offers a method for salvaging severely injured flexor tendon systems.

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  • The technique requires a multidisciplinary approach involving patients, surgeons, and therapists.

    • Conclusions:

    • A staged surgical reconstruction is a viable option for severe flexor tendon injuries.
    • The procedure, while complex, provides a pathway for functional recovery.