Limited open-tendon-sheath irrigation in the treatment of pyogenic flexor tenosynovitis.
A retrospective review of 27 patients (28 fingers) with pyogenic flexor tenosynovitis, who were treated by a limited, open-tendon-sheath, intermittent-irrigation method that utilized a small pediatric feeding catheter, was conducted. The cases were subcategorized into three stages, based on the intraoperative appearance of the wound. Our results were 100% excellent in stage I; and 88.4% excellent, 5.8% good, and 5.8% fair in stage II. This method proved effective for the surgical management of pyogenic flexor tenosynovitis.
Juliano
P J
PJ
Department of Orthopaedics, National Naval Medical Center, Bethesda, Maryland.
Eglseder
W A
WA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001419:Bacteria / Q000302:isolation & purification; D002648:Child; D005384:Finger Joint; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D013710:Tendons; D013717:Tenosynovitis / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D007507:Therapeutic Irrigation / Q000379:methods*