Repair of Flexor Tendon Injuries of the Hand Using Venous Graft as a Tendon Sheath Substitute
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- Category: Vol. 80, June 2012
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Repair of Flexor Tendon Injuries of the Hand Using Venous Graft as a Tendon Sheath Substitute,EMAD G.K. EL BANNA and AMR M.S. ABDEL MEGUID
Abstract
Background: In the work of everyday life, the hand is frequently exposed to injuries that may affect the function. Complex injuries of the hand result in soft tissue damage with loss of function. The main target of surgeons is to avoid the occurrence of post operative adhesions. Better understanding of the pathophysiological nature of tendon healing and con-tinuous evolution of operative technique improves the result. Use of venous graft as a tendon sheath substitute following tendon repair reduce the adhesion formation, improve tendon nourishment, decrease the need for intensive physiotherapy, restore the function and improve the results. Despite this remarkable progress, flexor tendon lesions continue to present a difficulty.
Material and Methods: Twenty patients had tendon injuries of the hand involving different zones, they were recent injured. We use modified Kessler technique for primary repair of acute flexor tendons injuries using the cephalic vein as a tendon sheath substitute.
Results: Evaluation of the results is based on TAM score of the American society for surgery of the hand. The final results were 90% excellent and 10% good, no fair or poor results.
Conclusion: Repair of the flexor tendon injuries using modified Kessler technique using a venous graft as a tendon sheath substitute and early active movement is recommended to provide effective results.