Failed Extensor Tendon Repairs: Extensor Tenolysis and Reconstruction

被引:6
作者
Desai, Mihir J. [1 ]
Wanner, John P. [1 ]
Lee, Donald H. [1 ]
Gauger, Erich M. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Orthopaed, 221 Kirkland Hall, Nashville, TN 37235 USA
关键词
ADHESION FORMATION; HAND; PREVENTION; MANAGEMENT; DEFECTS; FLAP;
D O I
10.5435/JAAOS-D-18-00218
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Extensor tendon injuries are common and require a complex treatment strategy to appropriately manage them, including initial repair, revision/reconstruction options, and postoperative protocols. Intrinsic and extrinsic components of the extensor mechanism contribute to a complex anatomic apparatus but also allow for numerous reconstructive options. Tenolysis, tendon grafting, and local tissue reconstruction are all options that can be used to treat complex extensor tendon injuries, but the type of repair is dependent on which of the eight extensor zones and accompanying structures are injured. To adequately assess and treat these injuries, a working knowledge of the anatomy, reconstructive techniques, and rehabilitation is imperative.
引用
收藏
页码:563 / 573
页数:11
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