Discharging transosseous suture of flexor tendons to the nail phalanx | Issues of reconstructive and plastic surgery. 2012. № 3 (42).

Discharging transosseous suture of flexor tendons to the nail phalanx

Aim: To compare outcomes of new transosseous attachments of flexor tendon to the bone using S. Bunnell pullout technique. Methods: 125 patients having grafting of the flexor digitorum profundus tendon (173 digits).The new suture was applied in 48 % patients and complicated with the rupture of tendon graft in 2,6 % of them. Results: Complications related to the pull-out fixation: rupture of suture in 7,2 % patients, rupture of tendon graft in 1 %, nail growth disturbances in 6,2 %, undoing of external stitches in 5,2 %, suppurative complications in 1 % of patients. Conclusion: the authors' technique is effective, minimally invasive, easy to perform and accompanied by minimum of complications.

Download file

Counter downloads: 1053

Keywords

сухожилия сгибателей пальцев кисти, шов, чрескостный, flexor tendons, suture, transosseous

Authors

Name	Organization	E-mail
Strafun S. S.
Bezuglyi A. A.		е-mail: artbez@gmail.com
Gaiovich V. V.

Всего: 3

References

Страфун С. С., Гайович В. В., Безуглый А. А. Способ выполнения возвратного чрескостного шва сухожилия. Патент на полезную модель № 50065 UA. МПК А61В17/56. ГУ «Институт травматологии и ортопедии НАМН Украины» № u2009 11864; Заявл. 20.11.2009. Опубл. 25.05.2010, Бюл. № 10. - 2010.

Bunnell S. Gig pull-out suture for tendons // J. Bone Joint Surg. Am. - 1954. - № 36. - P. 850-851.

Страфун С. С., Безуглый А. А., Гайович В. В. 3. Grant I., Pandya A., Mahaffey P. J. The re-attachment of tendon and ligament avulsions // J. Hand Surg [Br]. - 2002. - № 4. - P. 337-341.

Hallock G. G. The Mitek Mini GII anchor introduced for tendon reinsertion in the hand // Ann. Plast. Surg. - 1994. - № 2. - P. 211-213.

Mantero R., Bertolotti P. Early mobilisation in the treatment of lesions of the flexor tendons of the digital canal // Ann. Chir. - 1976. - № 30. - P. 889-896.

Schultz R. O., Drake D. B., Morgan R. F. A new technique for the treatment of flexor digitorum profundus tendon avulsion // Ann. Plast. Surg. - 1999. - № 1. - P. 46-48.

Sood M. K., Elliot D. J. A new technique of attachment of flexor tendons to the distal phalanx without a button tie-over // Hand Surg. [Br]. - 1996. - № 5. - P. 629-632.