• Handchir Mikrochir Plast Chir · Dec 2003

    Comparative Study

    [Results after staged reconstruction of the flexor pollicis longus tendon].

    • P Hahn and C Bultmann.
    • Vulpius Klinik, Bad Rappenau. hahn@vulpiusklinik.de
    • Handchir Mikrochir Plast Chir. 2003 Dec 1; 35 (6): 358-62.

    AbstractThe objective of this study was to evaluate results after staged reconstruction of the flexor pollicis longus tendon (FPL) and to compare the results with literature. The advantages and disadvantages of staged reconstruction with a total duration of therapy of four months are discussed and theoretically compared with the simple and fast alternative, the arthrodesis of the interphalangeal joint (IP) of the thumb. The results of 22 patients from 1993 until 2000, 16 of which could be re-examined, are presented. Clinical parameters (grip strength and motion) were evaluated as well as the DASH score. In all cases a long graft to the forearm was used. The second operation usually followed eight weeks after the first operation. The results show a sufficient function in 75 % of the cases (scoring system of Buck-Gramcko et al.), which is paralleled by a median of 11 in the DASH score. The study shows that staged reconstruction can produce satisfactory results even in thumbs. The results are influenced negatively by persistent flexion contractures, insufficiency of annular pulleys and ailments after algodystrophy, which can be seen as indicator of the severity of the initial injury.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…