Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Nov 1986
[Reconstruction of flexor tendons following prognostically unfavorable injuries in the "no man's land" of the hand using transplantation of a tendon-tendon sheath unit--preliminary report].
For the reconstruction of injured flexor tendons with a bad prognosis in "no man's land", the authors used a composite flexor tendon graft from the foot. In one case, first in the literature, they carried out the transplantation with microvessel anastomosis. They modified the method proposed by Chacha in 1974 in several ways. On the basis of their favourable results they propose the method for reconstruction after flexor tendon injuries with a poor prognosis.
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Handchir Mikrochir Plast Chir · Nov 1986
[A new method for the reconstruction of injured flexor tendons of the hand: tendons and tendon sheath reconstruction in 2 stages].
The authors have developed a new two-stage method of flexor tendon reconstruction for injuries in the critical zone of the hand. In the first phase of the secondary operation, they preserve the intact portions of tendon sheath. They replace the scarred tendon sheath: small retinacular defects with autologous vein grafts, larger pulley defects with fascial grafts. ⋯ In the second stage of the operation, after six weeks generally, an autologous tendon is placed in the reconstructed tendon sheath. The authors present their material and results: In 12 of 18 flexor tendon reconstructions they achieved excellent or good results. Therefore, they propose their method for reconstructing injured flexor tendons with an unfavourable prognosis.