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Early active mobilization after second stage flexor tendon grafts
1Department of Plastic and Reconstructive Surgery, Ulster Hospital, Dundonald, UK.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1997
Summary
This study evaluated two-stage tendon reconstructions using palmaris longus tendon grafts. Results showed a mix of outcomes, but no graft ruptures occurred, indicating surgical safety.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Background:
- Two-stage tendon reconstruction is a complex procedure for restoring function.
- The palmaris longus tendon is a common autograft choice.
- Early mobilization protocols are crucial for successful tendon healing.
Purpose of the Study:
- To assess the clinical outcomes of two-stage tendon reconstructions using ipsilateral palmaris longus tendon grafts.
- To evaluate the efficacy of early active mobilization post-surgery.
Main Methods:
- Nine patients underwent two-stage tendon reconstruction with palmaris longus grafts.
- A silicone spacer created a tunnel for graft insertion.
- Active mobilization began 48 hours post-surgery per the Small et al. protocol.
Main Results:
- Using the Kleinert and Verdan system: 1 excellent, 2 good, 5 fair, 1 poor.
- Using the Buck-Gramcko system: 3 excellent, 2 good, 2 satisfactory, 2 poor.
- No tendon graft ruptures or junctional dehiscence were observed.
Conclusions:
- Two-stage tendon reconstruction with palmaris longus grafts yields variable functional results.
- The surgical technique demonstrated safety with no graft ruptures.
- Further research may refine protocols for improved outcomes.