KMID : 0358820090360040515
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Journal of Korean Society of Plastic and Reconstructive Surgeons 2009 Volume.36 No. 4 p.515 ~ p.518
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Minimal-incision Tenorrhaphy in Flexor Tendon Injury
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Oh Sang-A
Lee Chi-Ho
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Abstract
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Purpose: To retrieve the retracted flexor tendon, additional incision and wide dissection are conventionally required. We introduce minimal-incision tenorrhaphy using 1cm-long incision and minimal dissection.
Methods: Transverse incision about 1cm in length is made over the level of retracted tendon. Nelaton¡¯s catheter is advanced into tendon sheath from distal primary laceration wound to emerge proximally through the incisional wound. A catheter is sutured to proximal tendon in end-to- end fashion. By gently pulling the catheter, retracted tendon is delivered to distal wound. Tenorrhaphy with core suture and epitendinous suture is then carried out.
Results: This retrieving technique provides minimal incision, minimal dissection, minimal bleeding, minimal injury to tendon end, and shorter operation time with preservation of vincula tendinum and pulley system.
Conclusion: In case of flexor tendon rupture with retraction, this operative method is believed to allow reliable and effective tenorrhaphy and excellent postoperative outcomes.
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KEYWORD
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Minimally invasive, Tendon injuries
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