Wide-awake flexor tendon repair and early tendon mobilization in zones 1 and 2.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 23660056.
- Also identified by DOI 10.1016/j.hcl.2013.02.009.
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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.
Medical subject headings
- Finger Injuries
- Fingers
- Tendon Injuries
- Tendons