title: Complex flexor and extensor tendon injuries.
abstract: Complex hand injuries are those that involve significant soft-tissue loss with variable exposure of bones and/or joints, lacerated tendons, and neurovascular structures. Management of these injuries is optimally accomplished through the restoration of thin, pliable, ideally sensate tissue with reliable vascularity and a gliding surface to facilitate restoration of motion after repair. Unfortunately, optimal restoration may require complex surgical reconstruction and/or staged surgical procedures. This article presents an overview of some of the more commonly used options available to the reconstructive surgeon willing to tackle these difficult clinical cases.
authors: Division of Plastic Surgery, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02114, USA. mcarty@partners.org
authors: Matthew J
authors: MJ
authors: Carty
authors: Philip E
authors: PE
authors: Blazar
mesh_terms: D002809:Chondroitin Sulfates / Q000627:therapeutic use; D003094:Collagen / Q000627:therapeutic use; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*; D013709:Tendon Transfer
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen