We have located links that may give you full text access.
Flexor Tendon Reconstruction: Active Range of Motion After the First Stage of Silicone Rod Insertion.
Annals of Plastic Surgery 2019 May
PURPOSE: In the first stage of flexor tendon reconstruction, a silicon rod is fixed distally to the remnant of the flexor tendon at the distal phalanx. The proximal end of the rod is left free (unsutured) in the distal forearm. Hence, the rod insertion is not expected to result in any active flexion of the finger. The author reports on a case series in which adhesions have occurred between the rod and the adjacent flexor tendons in the distal forearm.
METHODS: A retrospective study of 110 patients who underwent 2-stage flexor tendon reconstruction by the author revealed 5 patients in which the fingers were actively moving good enough after the insertion of the silicone rod to the extent that patients refused to undergo the second grafting procedure. Complications, range of motion, strength, and patient satisfaction were documented.
RESULTS: There were no complications related to the surgery or the presence of the rod for several years. Using the Strickland criteria, all patients qualified for a good outcome. Grip strength of the affected hand averaged 85% of the contralateral normal hand, and the pinch strength of the affected finger against the thumb averaged 68% compared with the contralateral side. All patients/parents were satisfied. Ultrasound imaging confirmed the presence of adhesions between the proximal end of the silicone rod and the adjacent flexor tendons.
CONCLUSIONS: Our series documents a very unusual "desirable" event following the first-stage flexor tendon reconstruction. The study also documents the lack of silicone rod-related complications on long-term follow-up. The results may also encourage the use of permanent implants in flexor tendon reconstruction.
METHODS: A retrospective study of 110 patients who underwent 2-stage flexor tendon reconstruction by the author revealed 5 patients in which the fingers were actively moving good enough after the insertion of the silicone rod to the extent that patients refused to undergo the second grafting procedure. Complications, range of motion, strength, and patient satisfaction were documented.
RESULTS: There were no complications related to the surgery or the presence of the rod for several years. Using the Strickland criteria, all patients qualified for a good outcome. Grip strength of the affected hand averaged 85% of the contralateral normal hand, and the pinch strength of the affected finger against the thumb averaged 68% compared with the contralateral side. All patients/parents were satisfied. Ultrasound imaging confirmed the presence of adhesions between the proximal end of the silicone rod and the adjacent flexor tendons.
CONCLUSIONS: Our series documents a very unusual "desirable" event following the first-stage flexor tendon reconstruction. The study also documents the lack of silicone rod-related complications on long-term follow-up. The results may also encourage the use of permanent implants in flexor tendon reconstruction.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app