Complications of flexor tendon repair.
J Hand Surg Eur Vol
; 49(2): 158-166, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38315135
ABSTRACT
This article reviews and highlights complications of flexor tendon repairs. Although the outcomes of flexor tendon repairs have improved over the years, fair or poor functional outcomes are seen, especially in patients whose trauma involves multiple structures of the hand and in zone 5 with multiple tendon lacerations. Rupture of the flexor tendon after repair is no longer a major problem if current repair principles are carefully adhered to. Different degrees of adhesion formations and interphalangeal (IP) joint stiffness still occur in a few patients. Early active postoperative mobilization and use of a shorter splint with sparing of the wrist are effective measures to prevent adhesion formation and IP joint stiffness. Given the overall poor results and high rate of complications with flexor digitorum profundus (FDP) repairs in zone 1, a direct repair of the FDP tendon to any short remnant of the distal insertion with 10-strand or even stronger core suture repair is adopted by many units.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos dos Tendões
/
Lesões dos Tecidos Moles
/
Lacerações
/
Traumatismos dos Dedos
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
J Hand Surg Eur Vol
Ano de publicação:
2024
Tipo de documento:
Article