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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Cavadas, P. C. Pérez-García, A. Thione, A. Lorca-García, C. |
| Description | Country affiliation: Spain Author Affiliation: Cavadas PC ( Reconstructive Surgery, Hospital de Manises, Valencia, Spain.); Pérez-García A ( Reconstructive Surgery, Hospital de Manises, Valencia, Spain albertoperez@comv.es.); Thione A ( Reconstructive Surgery, Hospital de Manises, Valencia, Spain.); Lorca-García C ( Reconstructive Surgery, Hospital de Manises, Valencia, Spain.) |
| Abstract | The reconstruction of finger flexor tendons with vascularized flexor digitorum superficialis (FDS) tendon grafts (flaps) based on the ulnar vessels as a single stage is not a popular technique. We reviewed 40 flexor tendon reconstructions (four flexor pollicis longus and 36 finger flexors) with vascularized FDS tendon grafts in 38 consecutive patients. The donor tendons were transferred based on the ulnar vessels as a single-stage procedure (37 pedicled flaps, three free flaps). Four patients required composite tendon and skin island transfer. Minimum follow-up was 12 months, and functional results were evaluated using a total active range of motion score. Multiple linear regression analysis was performed to evaluate the factors that could be associated with the postoperative total active range of motion. The average postoperative total active range of motion (excluding the thumbs) was 178.05° (SD 50°). The total active range of motion was significantly lower for patients who were reconstructed with free flaps and for those who required composite tendon and skin island flap. Age, right or left hand, donor/motor tendon and pulley reconstruction had no linear effect on total active range of motion. Overall results were comparable with a published series on staged tendon grafting but with a lower complication rate. Vascularized pedicled tendon grafts/flaps are useful in the reconstruction of defects of finger flexor tendons in a single stage, although its role in the reconstructive armamentarium remains to be clearly established. |
| File Format | HTM / HTML |
| ISSN | 17531934 |
| Issue Number | 3 |
| Volume Number | 40 |
| e-ISSN | 20436289 |
| Journal | Journal of Hand Surgery (European Volume) |
| Language | English |
| Publisher | Sage Publication |
| Publisher Date | 2015-03-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Trautomology Discipline General Surgery Finger Injuries Surgery Orthopedic Procedures Reconstructive Surgical Procedures Methods Tendon Injuries Tendon Transfer Adolescent Adult Aged Female Physiopathology Humans Male Middle Aged Range Of Motion, Articular Retrospective Studies Surgical Flaps Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
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