title: Wide-awake flexor tendon repair and early tendon mobilization in zones 1 and 2.
abstract: The wide-awake approach to flexor tendon repair has decreased our rupture and tenolysis rates and permitted us to get consistently good results in cooperative patients. The wide-awake surgery allows the repair of gaps of the surgical repair site revealed with intraoperative active movement testing of the repair We are now doing midrange active movement after primary tendon repair. After tenolysis, full-range active motion is possible even before skin closure. We no longer perform flexor tendon repair with the tourniquet, sedation, and muscle paralysis of general or block (Bier or axillary) anesthesia.
authors: Department of Surgery, Saint John Regional Hospital, Dalhousie University, 400 University Avenue, Saint John NB E2L 4L4, Canada. drdonlalonde@nb.aibn.com
authors: Donald H
authors: DH
authors: Lalonde
authors: Alison L
authors: AL
authors: Martin
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage; D004434:Early Ambulation; D005383:Finger Injuries / Q000534:rehabilitation / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D006801:Humans; D059408:Pain Management; D056888:Patient Positioning; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012421:Rupture; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000601:surgery*
chemical_list: D000779:Anesthetics, Local