Kamel, I. (2020). Reconstruction of Tendon Sheath by a Vein Graft in Flexor Tendon Repair in Adjacent Digits. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 483-488. doi: 10.21608/ejprs.2020.68202
Ibrahim Hussein Kamel. "Reconstruction of Tendon Sheath by a Vein Graft in Flexor Tendon Repair in Adjacent Digits". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 483-488. doi: 10.21608/ejprs.2020.68202
Kamel, I. (2020). 'Reconstruction of Tendon Sheath by a Vein Graft in Flexor Tendon Repair in Adjacent Digits', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 483-488. doi: 10.21608/ejprs.2020.68202
Kamel, I. Reconstruction of Tendon Sheath by a Vein Graft in Flexor Tendon Repair in Adjacent Digits. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 483-488. doi: 10.21608/ejprs.2020.68202
Reconstruction of Tendon Sheath by a Vein Graft in Flexor Tendon Repair in Adjacent Digits
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Adhesion formation after tendon injury is a challenging clinical problem. Aim: We compare the outcome of reconstructing the flexor tendon sheath after primary flexor tendon repair using an autogenous vein graft to reduce post-operative peritendinious adhesions. Methods: Eight patients have acute flexor tendon injuries of both FDS and FDP in zone II in more than one digit. Primary tenorrhaphy was done using traditional technique. In one-digit vein graft was used to reconstruct tendon sheath window, while in the other digit, the tendon sheath left untreated. Post-operative physiotherapy program of controlled active motion is used for both group. All patients were assessed using the second Buck-Gramcko scale at 2 and 6 months. Results: For the vein graft group, 2 patient had excellent result, 2 had very good, and 4 patients had good result. In group II, 2 patients had very good result, 2 patients had good result, and 4 patients had fair result. Conclusion: The use of autologous vein graft as a substitute of tendon sheath is a good treatment modality. Compared to conventional tendon repair technique, it was associated with less adhesion formation and less joint contracture. Evidence Based Medicine: Level IV, vase series.
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