[Pulley reconstruction in the hand].
BACKGROUND
To ensure proper function of the flexor tendons, pulleys are extremely important. Pulleys can be impaired by injury, infection, but also sometimes iatrogenically. The consequences of this failure are often poorly understood.


OBJECTIVE
What is the impact of pulley insufficiency, what are the clinical signs, and what are the reconstruction options?


METHODS
The experiences of 64 patients with different forms of pulley insufficiency are presented.


RESULTS
All patients benefit from a ring ligament reconstruction. A phalanx fracture can be one complication.


CONCLUSIONS
Pulley reconstructions are very beneficial operations.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.
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Langer
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Oeckenpöhler
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Hartensuer
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Herrmann
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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B
Wieskötter
D005081:Exercise Therapy / Q000379:methods; D006230:Hand Injuries / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation*; D013708:Tendon Injuries / Q000175:diagnosis / Q000628:therapy*; D058971:Tenotomy / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation*; D016896:Treatment Outcome
Biomechanical phenomena; Finger; Ligaments; Reconstructive surgical procedures; Tendon injuries