Complications after treatment of flexor tendon injuries

被引:66
作者
Lilly, Soma I. [1 ]
Messer, Terry M. [1 ]
机构
[1] Univ N Carolina, Dept Orthopaed, Sch Med, Chapel Hill, NC USA
关键词
D O I
10.5435/00124635-200607000-00001
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 goals of flexor tendon repair are to promote intrinsic tendon healing and minimize extrinsic scarring in order to optimize tendon gliding and range of motion. Despite advances in the materials and methods used in surgical repair and postoperative rehabilitation, complications following flexor tendon injuries continue to occur, even in patients treated by experienced surgeons and therapists. The most common complication is adhesion formation, which limits active range of motion. Other complications include joint contracture, tendon rupture, triggering, and pulley failure with tendon bowstringing. Less common problems include quadriga, swan-neck deformity, and lumbrical,plus deformity. Meticulous surgical technique and early postoperative tendon mobilization in a well-supervised therapy program can minimize the frequency and severity of these complications. Prompt recognition of problems and treatment with hand therapy, splinting, and/or surgery may help minimize recovery time and improve function. In the future, the use of novel biologic modulators of healing may nearly eliminate complications associated with flexor tendon injuries.
引用
收藏
页码:387 / 396
页数:10
相关论文
共 63 条
[1]   Conservative management of zone II partial flexor tendon lacerations greater than half the width of the tendon [J].
Al-Qattan, MM .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2000, 25A (06) :1118-1121
[2]   Biomechanical and histologic characteristics of canine flexor tendon repair using early postoperative mobilization [J].
Aoki, M ;
Kubota, H ;
Pruitt, DL ;
Manske, PR .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1997, 22A (01) :107-114
[3]   A COMPARISON OF POSTOPERATIVE MOBILIZATION OF FLEXOR TENDON REPAIRS WITH PASSIVE FLEXION-ACTIVE EXTENSION AND CONTROLLED ACTIVE MOTION TECHNIQUES [J].
BAINBRIDGE, LC ;
ROBERTSON, C ;
GILLIES, D ;
ELLIOT, D .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1994, 19B (04) :517-521
[4]   Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs [J].
Barrie, KA ;
Tomak, SL ;
Cholewicki, J ;
Merrell, GA ;
Wolfe, SW .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2001, 26A (02) :340-346
[5]   Biologic aspects of flexor tendon laceration and repair [J].
Beredjiklian, PK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (03) :539-550
[6]   TREATMENT OF PARTIAL FLEXOR TENDON LACERATIONS - THE EFFECT OF TENORRHAPHY AND EARLY PROTECTED MOBILIZATION [J].
BISHOP, AT ;
COONEY, WP ;
WOOD, MB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1986, 26 (04) :301-312
[7]  
Boyer Martin I, 2003, Instr Course Lect, V52, P137
[8]   Intrasynovial flexor tendon repair - An experimental study comparing low and high levels of in vivo force during rehabilitation in canines [J].
Boyer, MI ;
Gelberman, RH ;
Burns, ME ;
Dinopoulos, H ;
Hofem, R ;
Silva, MJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (06) :891-899
[9]  
Bunnell S, 1918, Surg Gynecol Obstet, V26, P103
[10]   Molecular studies in flexor tendon wound healing: The role of basic fibroblast growth factor gene expression [J].
Chang, J ;
Most, D ;
Thunder, R ;
Mehrara, B ;
Longaker, MT ;
Lineaweaver, WC .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1998, 23A (06) :1052-1058