Wide-awake Flexor Tendon Repair and Early Tendon Mobilization in Zones 1 and 2

被引：85
|
作者：
Lalonde, Donald H. [1 ]
Martin, Alison L. [1 ,2 ]
机构：
[1] Dalhousie Univ, St John Reg Hosp, Dept Surg, St John, NB E2L 4L4, Canada
[2] Dalhousie Univ, Fac Med, Halifax, NS B3H 4R2, Canada
来源：
HAND CLINICS | 2013年 / 29卷 / 02期
关键词：
Wide awake; Intraoperative movement testing of tendon repair; Rupture; Tenolysis; Early active movement; Finger epinephrine; ELECTIVE EPINEPHRINE USE; ANESTHESIA; STRENGTH; INJECTION; LIDOCAINE; SURGERY; BLOCK; HAND; PAIN;
D O I：
10.1016/j.hcl.2013.02.009
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：
The wide-awake approach to flexor tendon repair has decreased our rupture and tenolysis rates and permitted us to get consistently good results in cooperative patients. The wide-awake surgery allows the repair of gaps of the surgical repair site revealed with intraoperative active movement testing of the repair We are now doing midrange active movement after primary tendon repair. After tenolysis, full-range active motion is possible even before skin closure. We no longer perform flexor tendon repair with the tourniquet, sedation, and muscle paralysis of general or block (Bier or axillary) anesthesia.
引用
收藏
页码：207 / +
页数：8
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