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[Analysis of change in finger function after flexor tenolysis]
R Koller1, M S Choi, G S Bayer
1Universitätsklinik für Chirurgie, Klinische Abteilung für Wiederherstellende und Plastische Chirurgie, Universität Wien.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|July 1, 1996
Summary
Flexor tenolysis improves finger function in most patients, especially after primary tendon repair and in the thumb. Long-term outcomes depend on the specific finger and initial surgery.
Area of Science:
- Orthopedics
- Hand Surgery
- Reconstructive Surgery
Context:
- Flexor tenolysis is a surgical procedure to improve finger mobility after injury or surgery.
- Evaluating long-term functional outcomes is crucial for assessing the efficacy of tenolysis.
- Standardized classification schemes are used to objectively assess surgical results.
Purpose:
- To evaluate the long-term functional outcomes of flexor tenolysis in 31 patients (39 fingers).
- To compare results using Millesi's and Buck-Gramcko classification schemes.
- To identify factors influencing the success of flexor tenolysis.
Summary:
- Flexor tenolysis improved function in 23 of 39 fingers (59%) an average of 117.6 months post-surgery.
- Thumb injuries and primary tendon repair yielded the best outcomes.
- Millesi's and Buck-Gramcko classifications showed a high correlation, validating their use in outcome assessment.
Impact:
- Demonstrates the long-term effectiveness of flexor tenolysis in restoring finger function.
- Provides evidence-based guidance on factors predicting successful outcomes in hand surgery.
- Highlights the importance of primary tendon repair and specific digit involvement in surgical planning.