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.
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