title: [Primary treatment of complicated flexor tendon injuries of the hand].
abstract: Complicated flexor tendon injuries are classified into lacerations, avulsions, ruptures, and defects. They are often a challenge for hand surgeons and frequently they present unsatisfactory functional results postoperatively. Lacerations and avulsions are usually treated by pull-out sutures and suture anchors. In ruptures, the causality should be sought. Tendon-linking, transposition and tenodesis/arthrodesis are the domain of rheumatoid arthritis. The primary transplantation of tendons is rarely indicated, ideally in non-contaminated flexor tendon defects in zones III-V with an uninjured surrounding soft tissue situation. Postoperative rehabilitation programs are very the same as in normal flexor tendon injuries.
authors.affiliation: Berufsgenossenschaftliche Unfallklinik, Klinik für Plastische, Hand-, Rekonstruktive und Verbrennungschirurgie an der Eberhard-Karls-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland. oliver.lotter@freenet.de
authors.forename: O
authors.initials: O
authors.lastname: Lotter
authors.forename: D
authors.initials: D
authors.lastname: Vogel
authors.forename: S
authors.initials: S
authors.lastname: Stahl
authors.forename: M
authors.initials: M
authors.lastname: Pfau
authors.forename: H-E
authors.initials: HE
authors.lastname: Schaller
mesh_terms: D000673:Amputation, Traumatic / Q000209:etiology / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery; D003937:Diagnosis, Differential; D005383:Finger Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000534:rehabilitation; D016059:Range of Motion, Articular / Q000502:physiology; D012421:Rupture; D012422:Rupture, Spontaneous; D013536:Suture Techniques; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods; D013710:Tendons / Q000637:transplantation; D053656:Tenodesis / Q000379:methods