title: Two-stage reconstruction with the modified Paneva-Holevich technique.
abstract: Flexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.
authors: Department of Orthopaedic Surgery, St Vincents University Hospital, Elm Park, Dublin 4, Ireland.
authors: Kieran
authors: K
authors: O'Shea
authors: Scott W
authors: SW
authors: Wolfe
mesh_terms: D000714:Anastomosis, Surgical; D005383:Finger Injuries / Q000534:rehabilitation / Q000601:surgery; D006230:Hand Injuries / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D013165:Splints; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*