A Leti Acciaro1, M Lando2, A Russomando2, G Colzani3. 1. C.S. of Hand Surgery and Microsurgery, AOU Policlinico of Modena, L.go del Pozzo 71, Modena, 41124, Italy. andrealetiacciaro@libero.it. 2. C.S. of Hand Surgery and Microsurgery, AOU Policlinico of Modena, L.go del Pozzo 71, Modena, 41124, Italy. 3. C.S. of Orthopedic Surgery, Hospital Cardinal Massaia of Asti, C.so Alighieri 202, Asti, Italy.
Abstract
INTRODUCTION: The treatment of the flexor tendon adhesions following phalanx and metacarpal fractures, in closed or open injuries, is a great challenge for the hand surgeon. The outcomes are often poor, because of the severity of the lesion and the aggressiveness of the surgical procedure of the secondary tenolysis. MATERIALS AND METHODS: The authors describe the technical findings and the results of a new mini-invasive tenolysis in order to treat the adhesions in zone 1 and 2 of the fingers, following phalangeal and metacarpal fractures. With an atraumatic Allis or Duval surgical forceps, the flexor tendons are separately and gently tracted making a twisting movement on themselves until the adhesions were torn and the tendons appeared released. RESULTS: The relevant outcomes achieved show this technique is very useful to treat tendon adhesions, without adding trauma and scare to the tendinous canal and surrounding soft tissues.
INTRODUCTION: The treatment of the flexor tendon adhesions following phalanx and metacarpal fractures, in closed or open injuries, is a great challenge for the hand surgeon. The outcomes are often poor, because of the severity of the lesion and the aggressiveness of the surgical procedure of the secondary tenolysis. MATERIALS AND METHODS: The authors describe the technical findings and the results of a new mini-invasive tenolysis in order to treat the adhesions in zone 1 and 2 of the fingers, following phalangeal and metacarpal fractures. With an atraumatic Allis or Duval surgical forceps, the flexor tendons are separately and gently tracted making a twisting movement on themselves until the adhesions were torn and the tendons appeared released. RESULTS: The relevant outcomes achieved show this technique is very useful to treat tendon adhesions, without adding trauma and scare to the tendinous canal and surrounding soft tissues.
Entities:
Keywords:
Adhesion; Complications; Hand fracture; Mini-invasive; Tenolysis
Authors: Marco Giustini; Anna de Leo; Andrea Leti Acciaro; Giorgio Pajardi; Carlo Mamo; Fabio Voller; Francesco Fadda; Gianni Fondi; Alessio Pitidis Journal: Ann Ist Super Sanita Date: 2015 Impact factor: 1.663
Authors: Andrea Leti Acciaro; Mario Lando; Marta Starnoni; Giuliano Giuca; Roberto Adani Journal: Indian J Orthop Date: 2021-07-09 Impact factor: 1.033