Overview Although flexor tendon pulley reconstruction is not common, several surgical techniques have been described, including grafting to pulley remnants, Lister’s single loop of extensor retinaculum, Widstrom’s loop-and-a-half technique, and the triple loop technique. Some surgeons prefer to use the…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Indications A two-stage flexor tendon reconstruction is typically used to reconstruct a severely damaged flexor tendon system in patients who cannot undergo single-stage tendon grafting. when significant joint contracture release is needed ( Fig. 79.1 A-B), or pulley reconstruction is…
Indications Early surgical treatment (ideally immediate primary repair) of flexor tendon injury is preferred, but repair within 1 to 2 weeks of injury still produces good results. Surgical repair is essential for complete tendon lacerations. See specific indications under each…
Indications Many, if not all, tendon and nerve conditions can be approached using wide-awake local anesthesia. It is also common for arthritic conditions of the fingers and may be considered for digital fractures as well. The following are example conditions…
Indications Tendon transfers may be indicated to restore specific functions in patients with combined nerve injuries and resultant motor function loss with no expected recovery. Combined upper extremity nerve deficits typically result from severe trauma to the arm or after…
Indications Tendon transfers are indicated for patients with radial nerve injury who have failed to regain sufficient motor function. Critical deficits for patients with radial nerve injury include wrist extension, finger extension, and a combination of thumb extension and abduction.…
Tendon transfers for low and high ulnar nerve injury Indications Management of ulnar nerve injuries is challenging given the distance required to reach the distal innervation targets of the ulnar nerve in the hand. Tendon transfers are indicated for patients…