Primary treatment of complicated flexor tendon injuries of the hand

被引:0
|
作者
Lotter, O. [1 ]
Vogel, D. [1 ]
Stahl, S. [1 ]
Pfau, M. [1 ]
Schaller, H. -E. [1 ]
机构
[1] Eberhard Karls Univ Tubingen, Berufsgenossenschaftliche Unfallklin, Klin Plast Hand Rekonstrukt & Verbrennungschirurg, D-72076 Tubingen, Germany
来源
UNFALLCHIRURG | 2011年 / 114卷 / 06期
关键词
Flexor tendon injury; Laceration; Avulsion; Rupture; Defect; DIGITORUM-PROFUNDUS TENDON; PRIMARY REPAIR; ZONE-I; DISTAL RADIUS; AVULSION; RUPTURES;
D O I
10.1007/s00113-011-2014-x
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Complicated flexor tendon injuries are classified into lacerations, avulsions, ruptures, and defects. They are often a challenge for hand surgeons and frequently they present unsatisfactory functional results postoperatively. Lacerations and avulsions are usually treated by pull-out sutures and suture anchors. In ruptures, the causality should be sought. Tendon-linking, transposition and tenodesis/arthrodesis are the domain of rheumatoid arthritis. The primary transplantation of tendons is rarely indicated, ideally in non-contaminated flexor tendon defects in zones III-V with an uninjured surrounding soft tissue situation. Postoperative rehabilitation programs are very the same as in normal flexor tendon injuries.
引用
收藏
页码:517 / 526
页数:10
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