• Der Unfallchirurg · Jun 2011

    Review

    [Primary treatment of complicated flexor tendon injuries of the hand].

    • O Lotter, D Vogel, S Stahl, M Pfau, and H-E Schaller.
    • Berufsgenossenschaftliche Unfallklinik, Klinik für Plastische, Hand-, Rekonstruktive und Verbrennungschirurgie an der Eberhard-Karls-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland. oliver.lotter@freenet.de
    • Unfallchirurg. 2011 Jun 1; 114 (6): 517-27.

    AbstractComplicated 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.

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