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Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.

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Presentation on theme: "Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg."— Presentation transcript:

1 Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg Am Volume 84(9):1684-1706 September 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

2 The annular pulleys (A1 through A5) and cruciform pulleys (C1, C2, and C3) hold the flexor tendon within the flexor sheath and prevent bowstringing. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

3 Surgical approach to the index finger, involving a radial midaxial incision turned across the distal part of the palm to parallel the thenar crease. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

4 A drill point passed just proximal to the insertion of the profundus tendon in the base of the distal phalanx. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

5 The palmaris longus tendon has been withdrawn in the midpart of the forearm with use of two transverse incisions. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

6 The appearance of the digital bed following completion of the distal tendon-bone insertion and suturing of the distal profundus stump to the graft. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

7 A long midlateral incision on the radial aspect of the index finger. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

8 The appearance of the flexor tendons following tenolysis with maintenance of three annular pulleys. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

9 At the conclusion of the procedure, complete release of all restraining adhesions is confirmed either by a proximal "traction check" through a separate wrist incision or preferably by the active participation of the patient under local anesthesia, as shown. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.

10 A silicone tendon implant in a small finger during stage one of a two-stage flexor tendon reconstruction for functional salvage. Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684- 1706 ©2002 by The Journal of Bone and Joint Surgery, Inc.


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