Total anterior teno-arthrolysis. Report of 72 cases.
This report describes a new technique for treatment of the chronically flexed fingers which applies in particular to fingers previously operated on several times and now presenting cutaneous, tendinous and joint problems. It consists in releasing the entire flexor apparatus through a full length lateral digital incision and a sub periosteal dissection. The volar plates of PIP and DIP are released as a whole with the flexor apparatus. The extended finger and flexor apparatus then are allowed to heal in a new relationship. Straightening of the finger is always possible. The range of motion is maintained or increased. This technique can also be used in stiff PIP joints and in certain serious forms of Dupuytren's contracture. 56 cases are reviewed with 78% with good or fair results.
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D001174:Arthrodesis; D002908:Chronic Disease; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D004210:Dissection; D004387:Dupuytren Contracture / Q000601:surgery; D005384:Finger Joint / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D016916:Joint Deformities, Acquired / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery; D010521:Periosteum / Q000601:surgery; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D012086:Reoperation; D012867:Skin / Q000098:blood supply; D013165:Splints; D013710:Tendons / Q000601:surgery*; D000267:Tissue Adhesions / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing