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Omentum as gliding material after extensive forearm tenolysis
K Ueda1, T Harashina, T Harada
1Department of Plastic and Reconstructive Surgery, Saitama Medical Center, Saitama Medical School, Japan.
British Journal of Plastic Surgery
|October 1, 1993
Summary
Tendon adhesion after replantation surgery can be severe. Using omentum as a gliding material during tenolysis in two forearm replantation cases successfully prevented re-adhesion and yielded good results.
Area of Science:
- Orthopedic Surgery
- Reconstructive Microsurgery
- Hand Surgery
Background:
- Tendon adhesion is a significant complication following major limb replantation, often severe and extensive.
- Factors contributing to adhesion include trauma severity, ischemia, prolonged edema, and infection.
- High re-adhesion rates after tenolysis necessitate innovative solutions.
Observation:
- Two cases of tenolysis were performed after forearm replantation.
- Omentum was utilized as an interpositional gliding material during the tenolysis procedure.
Findings:
- The use of omentum as gliding material in tenolysis after forearm replantation resulted in good functional outcomes.
- No re-adhesion was observed in the treated cases, indicating successful prevention.
Implications:
- Omentum transplantation is a viable and effective strategy to prevent tendon re-adhesion after tenolysis in replantation surgery.
- This approach offers a promising solution for improving functional recovery in complex upper extremity reconstructions.