Staged flexor tendon reconstruction fingertip to palm

Thirty-five fingertip to palm staged flexor tendon reconstructions were performed between 1971 and 1998. Tendon injuries involved 5 avulsions and 30 lacerations, 9 of which had failed primary tenorrhaphies. Follow-up evaluation averaged 30 months. Thirteen patients had total active motion (TAM) of &...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 27; no. 4; p. 581
Main Authors Coyle, Jr, Michael P, Leddy, Timothy P, Leddy, Joseph P
Format Journal Article
LanguageEnglish
Published United States 01.07.2002
Subjects
Adolescent
Adult
Child
Child, Preschool
Female
Hand Injuries - surgery
Humans
Male
Middle Aged
Reconstructive Surgical Procedures - methods
Tendon Injuries
Tendons - surgery
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Summary:Thirty-five fingertip to palm staged flexor tendon reconstructions were performed between 1971 and 1998. Tendon injuries involved 5 avulsions and 30 lacerations, 9 of which had failed primary tenorrhaphies. Follow-up evaluation averaged 30 months. Thirteen patients had total active motion (TAM) of > or =220 degrees (excellent), 11 patients had TAM of 200 degrees to 219 degrees (good), 7 patients had TAM of 180 degrees to 199 degrees (fair), and 4 patients had TAM of <180 degrees (poor). Less favorable results occurred in those with a >1-year interval between injury and stage I, in those with a >6-month interval between stage I and stage II, and in those with a higher injury severity classification. Fingertip to palm staged flexor tendon reconstruction produced 69% good to excellent results. This technique allows the use of the injured digit profundus as the motor, preserves lumbrical function, and requires less tendon graft length (palmaris longus usually suffices).
ISSN:0363-5023
DOI:10.1053/jhsu.2002.34319