Minimal-incision Tenorrhaphy in Flexor Tendon Injury.
- Author:
Ju Yun JANG
1
;
Sang Ah OH
;
Dong Hee KANG
;
Chi Ho LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine, Cheonan, Korea. aga622@naver.com
- Publication Type:Case Report
- Keywords:
Minimally invasive;
Tendon injuries
- MeSH:
Catheters;
Hemorrhage;
Lacerations;
Rupture;
Sutures;
Tendon Injuries;
Tendons
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2009;36(4):515-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To retrieve the retracted flexor tendon, additional incision and wide dissection are conventionally required. We introduce minimal-incision tenorrhaphy using 1cm-long incision and minimal dissection. METHODS: Transverse incision about 1cm in length is made over the level of retracted tendon. Nelaton's catheter is advanced into tendon sheath from distal primary laceration wound to emerge proximally through the incisional wound. A catheter is sutured to proximal tendon in end-to- end fashion. By gently pulling the catheter, retracted tendon is delivered to distal wound. Tenorrhaphy with core suture and epitendinous suture is then carried out. RESULTS: This retrieving technique provides minimal incision, minimal dissection, minimal bleeding, minimal injury to tendon end, and shorter operation time with preservation of vincula tendinum and pulley system. CONCLUSION: In case of flexor tendon rupture with retraction, this operative method is believed to allow reliable and effective tenorrhaphy and excellent postoperative outcomes.
