Two-stage flexor tendon reconstruction in zone II using a silicone rod and a pedicled intrasynovial graft.
OBJECTIVE
To evaluate the results of a modified Paneva-Holevich technique for flexor tendon reconstruction in zone II.


METHODS
Twenty patients (22 digits) with poor prognosis injuries (Boyes grade 2-5) were reconstructed. The technique included placing a silicone rod and creating a loop between the flexor digitorum profundus (FDP) and the flexor digitorum superficialis (FDS) in the first stage and reflecting the latter as a pedicled graft through the pseudosheath created around the silicone rod in the second stage.


RESULTS
After a follow-up period of at least 1 year (mean, 50 mo) the rate of good and excellent results was 82% according to the Buck-Gramco scale and 73% using the modified Strickland scale.


CONCLUSIONS
These results compare favorably with those using the classic (Hunter) 2-stage reconstructions with a silicone rod and a free tendon graft. Apart from technical versatility, additional advantages of the technique include using a local intrasynovial graft, the absence of donor site morbidity, and a low rate of postreconstruction tendon ruptures and tenolysis.
Beris
Alexandros E
AE
University of Ioannina, School of Medicine, Department of Orthopaedic Surgery, Ioannina, Greece.
Darlis
Nickolaos A
NA
Korompilias
Anastasios V
AV
Vekris
Marios D
MD
Mitsionis
Gregory I
GI
Soucacos
Panayiotis N
PN
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005385:Fingers / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D017746:Joint Capsule / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D012828:Silicones; D013708:Tendon Injuries / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
D012828:Silicones