The "transverse intraosseous loop technique" (TILT) to re-insert flexor tendons in zone 1.
Flexor tendon divisions in Zone 1 need to be re-inserted to the distal phalanx. This paper describes the Transverse Intraosseous Loop Technique (TILT) of re-inserting the profundus tendon to the distal phalanx in which an internally placed suture is looped through the bone and tendon interface. It provides a strong repair, which permits the desired tensioning and can be performed in children. Ten of 12 patients' re-insertions using this technique achieved full recovery while two developed fixed flexion contractures.
Tripathi
A K
AK
Chelsea & Westminster Hospital, Fulham Road, London, UK. aktripathi007@yahoo.co.uk
Mee
S N J
SN
Martin
D L
DL
Katsarma
E
E
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D050278:Finger Phalanges / Q000601:surgery*; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D052581:Pinch Strength / Q000502:physiology; D011183:Postoperative Complications / Q000503:physiopathology; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D013536:Suture Techniques; D013708:Tendon Injuries / Q000503:physiopathology / Q000601:surgery*