The Use of Long-Acting Anesthetics Through Indwelling Catheter Afer Flexor Tenolysis
10.4055/jkoa.1987.22.2.525
- Author:
Jin Young KIM
;
Hyoung Min KIM
;
Seung Wook YANG
;
Jeong Nam YOO
- Publication Type:Case Report
- Keywords:
Long-acting anesthetics;
Indwelling catheter;
Tenolysis
- MeSH:
Anesthetics;
Catheters, Indwelling;
Classification;
Follow-Up Studies;
Humans;
Pain, Postoperative;
Tendons;
Treatment Outcome
- From:The Journal of the Korean Orthopaedic Association
1987;22(2):525-529
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The surgical release of flexor tendons from their restricting adhesions has historically been a somewhat controversial procedure. Especially clinical efficacy of tenolysis is dependent on early active digital motion. The administration of long acting anesthetics (Bupivacaine) through indwelling catheter after tenolysis relieved pain and so achieved early active digital motion in 12 cases. The times for tenolysis following tendon repair and the followup period were 3 months and 6 months on an average. According to flexor zones classification, in 4 patients the lesion was in zone II, 5 in zone III, 1 in zone IV and 2 in zone V. The results were as follows; 1. The functional results after tenolysis showed up 7 excellent, 4 good and 1 fair. 2. The subjective results of the postoperative pain relief showed up 8 excellent and 4 good out of 12 cases.
