Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer.
Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly repaired before leaving the operating table. I applied this method to primary flexor tendon repair in zone 1 or 2, tenolysis, and tendon transfer, and found this approach makes tendon surgery easier and more reliable. This article describes the method that I have used for tendon surgery.
Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, China.
Jin Bo
JB
Tang
D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D016059:Range of Motion, Articular; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000601:surgery*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000627:therapeutic use
D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D004837:Epinephrine
Anesthesia; Rehabilitation; Surgical repair; Tendon