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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 2/2017

01-04-2017 | Case Report

Flexor pollicis longus reconstruction using the “demi-tendon” technique

Authors: A. F. Egan, E. C. Francis, P. J. Regan

Published in: European Journal of Plastic Surgery | Issue 2/2017

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Abstract

We report the case of a delayed flexor pollicis longus tendon rupture post distal radius fracture and its reconstruction using the “demi-tendon” technique. This technique has been well described in relation to delayed closed flexor digitorum profundus injuries as a method to facilitate primary repair. In this instance, it is a novel application of the technique which, to date, has not been described as a method of primary tennorrhaphy for a closed rupture of the flexor pollicis longus tendon.
Level of Evidence: Level V, therapeutic study.
Literature
1.
Elliot D, Moiemen NS, Flemming AF, Harris SB, Foster AJ (1994) The rupture rate of acute flexor tendon repairs mobilized by the controlled active motion regimen. J Hand Surg Eur 19B:607–612
2.
Sirotakova M, Elliot D (2004) Early active mobilisation of primary repairs of the flexor pollicis longus tendon with two Kessler two-strand core sutures and a strengthened circumferential suture. J Hand Surg Eur 29B:531–535
3.
Elliot D, Khandwala AR, Ragwooansi R (2001) The flexor digitorum profundus “demi-tendon”—a new technique for passage of the flexor profundus tendon through the A4 pulley. J Hand Surg Br 26B(5):422–426
4.
Strickland JW (1989) Flexor tendon surgery. Part 2. Free tendon grafts and tenolysis. J Hand Surg 14B:368–382
Metadata
Title
Flexor pollicis longus reconstruction using the “demi-tendon” technique
Authors
A. F. Egan
E. C. Francis
P. J. Regan
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 2/2017
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-016-1273-8

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