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Article

Two‐stage grafting of flexor tendons: results after mobilisation by controlled early active movement

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Pages 220-227 | Published online: 08 Jul 2009
 

Abstract

We present the results of two‐stage flexor tendon grafting to the hand followed by early active mobilisation. Twenty‐six digits from 22 patients were assessed over a 10‐year period between 1991 and 2001. Using the LaSalle and Strickland assessment for surgical outcome, we found that 20 digits (77%) achieved excellent or good results. Two ruptured (8%) and one developed adhesions (4%). We think that our results are achieved through meticulous attention to surgical technique with the use of mid‐lateral incisions for surgical access, strong bony fixation of the graft that allows a good interface between tendon and distal phalanx, and a closely supervised early active mobilisation regimen after the repair.

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