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 · Dec 2003
Comparative Study[The Mantero technique for flexor tendon repair - an alternative?].
Regaining free tendon gliding after reconstruction of flexor tendons is essential to restore full function to the affected finger. Mantero et al. described a pull-out suture technique for the repair of flexor digitorum profundus (FDP) lesions in zone 1, allowing early postoperative active mobilisation and thus minimizing the risk of tendon adhesions. In a retrospective study we examined the results after Mantero tendon repair and compared these with the results after different reconstructive procedures in the literature. ⋯ Based on our results, we consider the Mantero technique to be a good alternative to other forms of flexor tendon reconstruction in zone 1 and distal zone 2. Advantages include the possibility of immediate postoperative mobilisation and placing a secure tendon suture, even if the distal tendon stump is very short.
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Handchir Mikrochir Plast Chir · Dec 2003
Comparative Study[Results after staged reconstruction of the flexor pollicis longus tendon].
The 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. ⋯ 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.
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Handchir Mikrochir Plast Chir · Dec 2003
Comparative Study[Reconstruction of the extensor pollicis longus tendon by transposition of the extensor indicis tendon].
Rupture of the extensor pollicis longus-tendon (EPL) is a frequent complication after distal radius fractures. Other traumatic and non-traumatic reasons for this tendon lesion are known, including a theory about a disorder in the blood supply to the tendon itself. We examined 40 patients after reconstruction of the EPL-tendon in a mean follow-up time of 30 months. ⋯ Generally, the loss of the extension of the index finger is negligible. It does not disturb the patients. But it has to be discussed with the patient before the operation.