title: [Reconstruction of tendon sheaths from veins in the "no-man's-land" of the hand].
abstract: A special procedure is reported for reconstruction of damaged flexor tendons in "no-mans-land" after severe crush injuries and extensive scarring. In the first stage, the scarred flexor tendons will be excised and replaced by an autogenous vein graft. A silicone rod is placed within the vein graft. In the second stage, 3 to 4 weeks later, the silicone rod is replaced with a free tendon graft. The endothelial lining of the vein tunnel provides a good gliding surface for the vein grafts. The minimal scarring permits better function.
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000601:surgery; D006227:Hand Deformities, Acquired / Q000601:surgery*; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation*; D013708:Tendon Injuries; D013710:Tendons / Q000601:surgery*
vernacular_title: Sehnenscheidenbildung aus Venen im "Niemandsland" der Hand.