Zone I Flexor Digitorum Profundus Repair: A Surgical Technique. [Review]

MedStar author(s):
Citation: BMJ Quality & Safety. 28(3):190-197, 2019 03.PMID: 30309664Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *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 StudiesYear: 2019Local holdings: Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - presentISSN:
  • 0363-5023
Name of journal: The Journal of hand surgeryAbstract: 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.All authors: Katz RD, Polfer EM, Sabino JMFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2018-11-02
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30309664 Available 30309664

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.

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