Two-stage reconstruction with the modified Paneva-Holevich

Hand clinics · May 2013

Review

Two-stage reconstruction with the modified Paneva-Holevich technique.

Flexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.

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- Kieran O'Shea and Scott W Wolfe.
- Department of Orthopaedic Surgery, St Vincents University Hospital, Elm Park, Dublin 4, Ireland.
- Hand Clin. 2013 May 1;29(2):223-33.
AbstractFlexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.Copyright © 2013 Elsevier Inc. All rights reserved.

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Two-stage reconstruction with the modified Paneva-Holevich technique.

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