Two-stage reconstruction of the flexor tendons.
Secondary repair of 324 flexor tendon injuries in the critical area was undertaken using a two-stage tenoplasty with a pedicle graft. This operation was combined with the Hunter procedure using a silicone rod in 39 repairs in fingers which were stiff and extensively scarred. Compared with a similar series of injuries in the first group, use of the rod improved the percentage of very good results form 13.8% to 47.8% in the scarred fingers, but the results in stiff fingers remained poor.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005385:Fingers / Q000601:surgery; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008722:Methods; D008875:Middle Aged; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*