Zone I Flexor Digitorum Profundus Repair: A Surgical Technique. [Review]
Zone I Flexor Digitorum Profundus Repair: A Surgical Technique. [Review]
- 2019
Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
Copyright (c) 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. The dorsal tie-over does not require a suture button and, therefore, does not imperil the nail matrix. The surgical technique is herein described including the proposed anesthesia (wide awake), the incisions (midlateral), the exposures, and the repair itself.
English
0363-5023
10.1016/j.jhsa.2018.08.015 [doi] S0363-5023(18)30643-9 [pii]
*Patient Comfort
*Patient Satisfaction
*Quality of Health Care
Adult
Aged
Communication
Cross-Sectional Studies
District of Columbia
Female
Health Care Surveys
Hospitals
Humans
Male
Maryland
Middle Aged
Patient Safety
Retrospective Studies
Curtis National Hand Center
Journal Article
Review
Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
Copyright (c) 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. The dorsal tie-over does not require a suture button and, therefore, does not imperil the nail matrix. The surgical technique is herein described including the proposed anesthesia (wide awake), the incisions (midlateral), the exposures, and the repair itself.
English
0363-5023
10.1016/j.jhsa.2018.08.015 [doi] S0363-5023(18)30643-9 [pii]
*Patient Comfort
*Patient Satisfaction
*Quality of Health Care
Adult
Aged
Communication
Cross-Sectional Studies
District of Columbia
Female
Health Care Surveys
Hospitals
Humans
Male
Maryland
Middle Aged
Patient Safety
Retrospective Studies
Curtis National Hand Center
Journal Article
Review