title: Flexor pulley reconstruction.
abstract: Flexor pulley reconstruction is a challenging surgery. Injuries often occur after traumatic lacerations or forceful extension applied to an acutely flexed finger. Surgical treatment is reserved for patients with multiple closed pulley ruptures, persistent pain, or dysfunction after attempted nonoperative management of a single pulley rupture, or during concurrent or staged flexor tendon repair or reconstruction. If the pulley cannot be repaired primarily, pulley reconstruction can be performed using graft woven into remnant pulley rim or looping graft around the phalanx. Regardless of the reconstructive technique, the surgeon should emulate the length, tension, and glide of the native pulley.
authors: Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, USA.
authors: Christopher J
authors: CJ
authors: Dy
authors: Aaron
authors: A
authors: Daluiski
mesh_terms: D001696:Biomechanical Phenomena; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013165:Splints; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*