NDLI: Two-stage flexor tendon reconstruction in zone II using Hunter's technique.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sun, Siguo Ding, Yong Ma, Baoan Zhou, Yong
Description	Country affiliation: China Author Affiliation: Sun S ( Department of Orthopedic Surgery, Tangdu Hospital, the Fourth Military Medical University, Xi'an, Shhanxi Province, China.)
Abstract	Tendon injuries in the digital flexor sheath area (zone II) are the most difficult to treat and remain a focus of both clinical attention and basic investigations. Although some new techniques have been developed, the clinical results are still not satisfying, especially in old injuries. This retrospective study was designed to investigate the results of delayed zone II flexor tendon repair using Hunter rods. Between July 1974 and June 1998, 81 patients at our institution underwent 2-stage reconstruction using Hunter's technique. Sixty-one patients with 106 fingers were included in this study. Digital flexor tendon resection and Hunter rod implantation were performed in the first-stage operation. Combined digital nerve injuries and damaged pulleys were repaired or reconstructed at the same time. Plaster was used to immobilize the hand for 3 weeks. During the second-stage operation, performed 2 to 6 months later, palmaris longus or plantaris were grafted into the pseudosheath formed surrounding the Hunter rods. The proximal end of the transplanted tendon was fixated with flexor digitorum profundus tendon using the Pulvertaft method, and the distal end was fixated to the distal phalanx using Bunnell's pullout wire method. Early controlled motion was performed in all cases. Evaluation based on total active motion was good to excellent in 84%, fair in 12%, and poor in 4% of patients. Flexor tendon reconstruction using Hunter technique is an effective way to restore digital function in delayed zone II flexor tendon injuries.
Related Links	https://www.healio.com/orthopedics/hand-wrist/journals/ortho/2010-12-33-12/{1a0b0afd-e07d-4db0-af93-19b1b6d69eaf}/two-stage-flexor-tendon-reconstruction-in-zone-ii-using-hunters-technique
File Format	HTM / HTML
ISSN	01477447
e-ISSN	19382367
DOI	10.3928/01477447-20101021-10
Journal	Orthopedics
Issue Number	12
Volume Number	33
Language	English
Publisher	SLACK Incorporated
Publisher Date	2010-12-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Fingers Surgery Reconstructive Surgical Procedures Instrumentation Tendon Injuries Adolescent
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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