keyword
https://read.qxmd.com/read/38268767/chronic-achilles-tendon-avulsion-repair-central-third-fascia-slide-technique-with-flexor-hallucis-longus-transfer
#21
JOURNAL ARTICLE
Logan J Roebke, Paul M Alvarez, Christian Curatolo, Reid Palumbo, Kevin D Martin
BACKGROUND: Chronic Achilles tendon defects are commonly associated with substantial impairment in gait and push-off strength, leading to decreased function1 . These injuries cause a unique surgical dilemma, with no consensus surgical reconstruction technique for >6-cm gaps3 . There are a multitude of surgical reconstruction techniques that rely on gap size as a determinant for preoperative planning1,2 . The present article describes a technique for chronic Achilles tendon defects of >6 cm...
2024: JBJS Essential Surgical Techniques
https://read.qxmd.com/read/38243624/partially-lacerated-digital-flexor-tendons-a-cadaveric-study-determining-the-intact-cross-sectional-area-and-biomechanical-analysis
#22
JOURNAL ARTICLE
Gavrielle Hui-Ying Kang, Yoke-Rung Wong, Alyssa LiYu Toh, Fok-Chuan Yong
BACKGROUND: The extent of injury in partially lacerated tendons has conventionally been expressed as a percentage of the total tendon, to justify surgical repair. We propose a more objective method to estimate the cross-sectional area of the remnant intact tendon and to determine if the remaining tendon fibers can withstand the tensile forces of early active mobilization against resistance. METHODS: The study was done on 20 cadaveric specimens, which were randomly assigned to receive a laceration of 25%, 50%, or 75% of the measured transverse tendon diameter...
January 19, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38235717/outcome-of-flexor-tendon-repair-using-eight-strand-core-stitch-without-postoperative-finger-splinting
#23
JOURNAL ARTICLE
Tarek Abdalla El-Gammal, Mohamed Mostafa Kotb, Yasser Farouk Ragheb, Yousif Tarek El-Gammal, Mina Micheal Anwar
BACKGROUND: There are no reports that detail clinical outcomes using the 8-strand suture techniques and early active mobilization. We aim to report the outcome of using an 8-strand double-cruciate core suture followed by early active motion without finger splinting. MATERIALS AND METHODS: Thirty-five patients with 41 affected digits were operated and followed up for at least 6 months. A double cruciate repair with 4 single cross-grasping stitches on either side was employed...
January 18, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38231207/evaluation-of-the-ankle-function-after-achilles-tendon-resection-a-retrospective-clinical-study
#24
JOURNAL ARTICLE
Olimpiu Bota, Leona M Heinzinger, Bianka Herzog, Alexander C Disch, Michael Amlang, Philipp Flößel, Adrian Dragu, Feras Taqatqeh
INTRODUCTION: The Achilles tendon is the strongest tendon in the human body and has the function of plantar ankle flexion. When the tendon is exposed, the peritendineum has been breached and the thick avascular tendon colonized with bacteria, a complete resection of the tendon may be indicated to achieve infection control and facilitate wound closure. The Achilles tendon reconstruction is not mandatory, as the plantar flexion of the ankle joint is assumed by the remaining flexor hallucis longus, flexor digitorum longus and tibialis posterior muscles...
January 17, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38188214/iatrogenic-flexor-tendon-rupture-caused-by-misdiagnosing-sarcoidosis-related-flexor-tendon-contracture-as-tenosynovitis-a-case-report
#25
Rui Yan, Zhe Zhang, Long Wu, Zhi-Peng Wu, He-De Yan
BACKGROUND: Sarcoidosis is a multisystem disease characterized by granuloma formation in various organs. Sarcoidosis-related flexor tendon contractures are uncommon in clinical settings. This contracture is similar to stenosing tenosynovitis and potentially leads to misdiagnosis and mistreatment. Herein, we report a rare case of sarcoidosis-related finger flexor tendon contracture that was misdiagnosed as tenosynovitis. CASE SUMMARY: A 44-year-old woman presented to our department with flexion contracture of the right ring and middle fingers...
December 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/38130388/the-clinical-efficacy-of-fat-injection-on-the-repair-of-hand-flexor-tendon-a-randomized-clinical-trial
#26
JOURNAL ARTICLE
Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi
BACKGROUND: In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury. METHODS: In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1)...
2023: World Journal of Plastic Surgery
https://read.qxmd.com/read/38130384/comparison-the-range-of-motion-following-early-versus-late-active-mobilization-after-repairing-surgery-on-flexor-tendon-injury-in-the-zone-ii-a-randomized-clinical-trial
#27
JOURNAL ARTICLE
Hosseinali Abdolrazaghi, Mohammad Ramin, Hojjat Molaei
BACKGROUND: Early or delayed mobilization of limb after flexor tendon rupture repairing has an effect on postoperative outcomes, however it is not yet clear whether early or late organ mobilization leads to more likelihood of recovery. We aimed to assess the effects of early and late active limb mobilization through rehabilitation after surgery on the range of motion and hand recovery. METHODS: This randomized clinical study was performed in Sina Hospital, Tehran, Iran in 2022 on 80 patients with flexor tendon damage in the zone II, who underwent reconstructive surgery of superficial and deep tendons...
2023: World Journal of Plastic Surgery
https://read.qxmd.com/read/38130380/comparison-of-the-results-of-delayed-repair-of-flexor-pollicis-longus-fpl-tendon-with-tendon-transfer-or-with-tendon-graft
#28
JOURNAL ARTICLE
Yousef Shafaei, Mehdi Tassallibakhsh, Mohamadreza Akhoondinasab, Noorahmad Latifi
BACKGROUND: In Flexor Pollicis Longus (FPL) injuries, primary repair with end-to-end suture is the treatment of choice. In cases where primary repair is not possible, tendon transfer or tendon grafting is used, each of which has its strengths and weaknesses. We aimed to investigate the effectiveness of each of the above two methods in patients. METHODS: Patients with FPL injury who referred to Hazrat Fatemeh Hospital, Tehran, Iran late in 2020 to 2021, if primary tendon repair was not possible, were randomly repaired with tendon transfer or tendon graft...
2023: World Journal of Plastic Surgery
https://read.qxmd.com/read/38130379/comparison-of-six-strand-and-four-strand-techniques-on-the-repair-of-injured-deep-flexor-tendons-of-zone-ii-of-the-hand-a-randomized-controlled-clinical-trial
#29
JOURNAL ARTICLE
Mohammad Bagher Heydari, Yusef Porhesam, Arian Karimi Rouzbahani, Golnaz Mahmoudvand, Hormoz Mahmoudvand
BACKGROUND: Hand zone II flexor tendon repair had been associated with many complications thereby it was previously called no man's land. Although there is some agreement on the primary repair of flexor tendons in this area, it is challenging due to certain complications. We compared the six and four-strand techniques in the repair of flexor digitorum profundus (FDP) tendons of zone II. METHODS: This randomized controlled clinical trial was registered with the Iranian Registry of Clinical Trials (IRCT20130812014333N139)...
2023: World Journal of Plastic Surgery
https://read.qxmd.com/read/38105874/evaluation-of-outcome-measures-of-zone-v-flexor-tendon-injury-a-systematic-review
#30
REVIEW
Iris Cardoz Lobo, Sonali Manek, Krutika Bhosale, Chhaya Verma, Maksud Devale, Aditi Parekh, Priyanka Kerketta
Background  Flexor tendon injury zone V is a multicomponent soft tissue injury involving tendons, nerves, and vessels. Outcome assessment of repair thus requires evaluation of the hand as a whole rather than solely evaluating tendon function. The purpose of this Preferred Reporting Items for Systematic Reviews and Meta-Analyses -compliant systematic review was to identify and assess the components of outcome measures used in flexor zone V. Methods  A total of 3,761 studies were retrieved from four databases (PubMed, ProQuest, Cochrane Central, and Google Scholar)...
December 2023: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://read.qxmd.com/read/38098614/comparative-sensitivity-and-accuracy-of-24%C3%A2-vs-%C3%A2-18%C3%A2-mhz-ultrasound-probes-for-the-diagnosis-of-flexor-tendon-repair-integrity
#31
JOURNAL ARTICLE
Sean Renfree, Nathaniel B Hinckley, Nirvikar Dahiya, Nan Zhang, Kevin J Renfree
PURPOSE: To determine whether a 24 MHz transducer significantly improves sensitivity, specificity and accuracy in evaluating flexor tendon repair integrity compared with an 18 MHz transducer. METHODS: One hundred and twelve cadaveric digits were randomised to an intact repair or simulated 'failed' repair, and to a two- or eight-strand repair of a flexor digitorum profundus laceration. A blinded sonologist evaluated specimens in static mode using 18 and 24 MHz transducers...
November 2023: Australasian Journal of Ultrasound in Medicine
https://read.qxmd.com/read/38090936/elbow-ulnar-collateral-ligament-tears-in-2023-evaluation-and-management
#32
JOURNAL ARTICLE
Peter N Chalmers, Eric Bowman, Brandon J Erickson, Matthew V Smith, Christopher L Camp, Michael T Freehill
The ulnar collateral ligament, also called the medial collateral ligament of the elbow, is the primary stabilizer against valgus loads. This ligament can be traumatically torn, such as in an elbow dislocation, or can tear through attritional damage with overhead sports. Although baseball pitching is the most common contributor, these injuries also occur with volleyball, gymnastics, and javelin throwing. Patients most commonly report a history of medial elbow pain with associated loss of command, control, and throw velocity...
2024: Instructional Course Lectures
https://read.qxmd.com/read/38090908/top-no-nonsense-tips-the-dos-and-don-ts-of-managing-flexor-tendon-injuries
#33
JOURNAL ARTICLE
Maureen A O'Shaughnessy, Marco Rizzo, Nicholas Pulos, Donald G Pitts
Flexor tendon injury surgical repairs can be challenging for surgeons, where the timing of surgery and precision of repair matter the most. The latest evidence and basic science discoveries in flexor tendon management are provided. It is important to review how wide-awake local anesthesia no tourniquet surgery has been a paradigm shift in surgical management and pearls learned from incorporating this into practice.
2024: Instructional Course Lectures
https://read.qxmd.com/read/38073411/index-finger-flexor-digitorum-profundus-function-deficit-after-shoulder-arthroscopy-treated-by-neurolysis-a-case-report
#34
JOURNAL ARTICLE
Seong Hun Kim, Min-Yung Chang, Heemin Choi, Jun-Ku Lee
A 60-year-old woman presented functional deficit of the index finger flexor digitorum profundus (FDP) tendon after shoulder arthroscopic rotator cuff repair. As no recovery was observed for 10 months, we conducted an operative exploration of the median nerve and the anterior interosseous nerve, followed by an external neurolysis. The patient recovered FDP function 4.5 months after the second operation. In a patient with persistent isolated FDP dysfunction after shoulder arthroscopy, operative exploration and external neurolysis could facilitate functional recovery...
December 5, 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38069418/examining-the-potential-of-vitamin-c-supplementation-in-tissue-engineered-equine-superficial-digital-flexor-tendon-constructs
#35
JOURNAL ARTICLE
Michael J Mienaltowski, Mitchell Callahan, Nicole L Gonzales, Angelique Wong
Because equine tendinopathies are slow to heal and often recur, therapeutic strategies are being considered that aid tendon repair. Given the success of utilizing vitamin C to promote tenogenesis in other species, we hypothesized that vitamin C supplementation would produce dose-dependent improvements in the tenogenic properties of tendon proper (TP) and peritenon (PERI) cells of the equine superficial digital flexor tendon (SDFT). Equine TP- and PERI-progenitor-cell-seeded fibrin three-dimensional constructs were supplemented with four concentrations of vitamin C...
December 4, 2023: International Journal of Molecular Sciences
https://read.qxmd.com/read/38051506/efficacy-and-safety-of-dynavisc%C3%A2-gel-in-prevention-of-scar-adhesions-recurrence-after-flexor-tendons-tenolysis-in-zone-2-multicenter-retrospective-cohort-study
#36
MULTICENTER STUDY
Franco Bassetto, Giorgio Pajardi, Bruno Battiston, Massimo Corain, Silvia Sargenti, Carlotta Scarpa, Chiara Novelli, Cesare Tiengo, Andrea Vitali, Federico Facchin, Maddalena Bertolini, Luciano Cara, Giancarlo Caruso
AIM: Dynavisc® is a novel surgical product made of carboxymethylcellulose (CMC) and Polyethylene Oxide (PEO) designed to reduce post-surgical adhesions in tendons surgery. A multicenter retrospective cohort study was performed to investigate the clinical safety and efficacy of the Dynavisc® gel in reducing post-surgical adhesions after flexor tenolysis in zone 2. MATERIAL OF STUDY: Thirty-one patients suffering from stiff finger after flexor tendon repairs in zone 2 treated with standard release with (18 Dynavisc®-treated group) or without (13 controls) anti-adhesion gel application into the flexor tendon sheath and around the site of the tenolysis, were collected in five different hand surgery units...
2023: Annali Italiani di Chirurgia
https://read.qxmd.com/read/38025351/surgical-treatment-of-distal-radius-fractures-complicated-by-concomitant-flexor-carpi-radialis-brevis-a-case-series-and-surgical-techniques
#37
JOURNAL ARTICLE
Takafumi Hosokawa, Tsuyoshi Tajika, Morimichi Suto, Hirotaka Chikuda
INTRODUCTION: The flexor carpi radialis brevis (FCRB) is a rare anatomical variation, with a reported prevalence ranging from 0.9% to 8.7%. Our previous report showed three cases of FCRB in distal radius fracture (DRF) and found that hypoplastic pronator quadratus (PQ) adjacent to the FCRB muscle made it difficult to cover a volar locking plate (VLP). As we subsequently experienced additional six FCRBs, we report on new findings and surgical tips. CASE REPORT: VLP fixation was performed on DRF with FCRB in nine limbs of eight patients...
November 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38024054/foreign-body-reaction-following-achilles-tendon-reconstruction-with-the-ligament-advanced-reconstructive-system-patient-outcomes-and-clinical-course
#38
Niall Fitzpatrick, Theenesh Balakrishnan, Anand Pillai
The Ligament Advanced Reinforcement System (LARS) is a common choice for ligament reconstruction in the lower limb due to its good functional and quality of life (QoL)-related outcomes. It is commonly used for Achilles tendon repair following a rupture. While it facilitates tissue ingrowth and boasts good biocompatibility, we report on multiple cases whereby foreign body reactions have led to the growth of granulomas requiring surgical excision and Flexor Hallucis Longus (FHL) transfer. Following these cases, patients have been shown to have excellent functional and QoL-related outcomes using the Manchester Oxford Foot Questionnaire (MOX-FQ) and Foot and Ankle Ability Measure (FAAM)...
November 2023: Curēus
https://read.qxmd.com/read/38000014/comparison-of-pulley-plasty-pulley-venting-and-resection-of-flexor-digitorum-superficialis-slip-after-zone-ii-flexor-tendon-repair-a-cadaver-study
#39
JOURNAL ARTICLE
Omar Aljasim, Can Yener, Mesut Demirkoparan, Okan Bilge, Levent Küçük, Hüseyin Günay
V.
November 24, 2023: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/37978961/gap-resistance-and-tensile-strength-of-a-q-suture-technique-during-curved-loading-an-ex%C3%A2-vivo-porcine-flexor-tendon-study
#40
JOURNAL ARTICLE
Si Wei Xu, Wei Feng Mao, Ya Fang Wu
PURPOSE: This study aimed to determine the mechanical properties of the double Q suture technique in angular motion and to compare the gap formation associated with tendon repairs during curved and linear loading. METHODS: Eighty porcine flexor tendons were repaired with one of two 4-strand sutures: double Q suture or double modified Kessler plus peripheral running sutures. The repaired tendons were cyclically loaded sequentially against a pulley with a radius of 2...
November 15, 2023: Journal of Hand Surgery
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