Staged flexor tendon reconstruction in the fingers and hand

Peter C. Amadio, Michael B. Wood, William P. Cooney, Steven D. Bogard

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

A two-stage tendon-grafting technique was used to reconstruct 130 fingers in 101 patients between 1973 and 1984. Eighty-nine patients with 117 fingers that had undergone operation were evaluated 6 months or longer after stage II surgery. Sixty-five percent of the patients were in the Boyes salvage group before operation. Overall, 54% had good or excellent results by the total active motion (TAM) as a percentage of total passive motion (TPM) method, although only 19% had final TAM of greater than 180 degrees. Complications included infection in 15%, rupture in 4%, amputation in 4%, and reflex sympathetic dystrophy in 1% of the patients. Sixteen percent of the patients required tenolysis after stage II surgery. Factors associated with a poor result included zone I or II injury and patients who were less than 10 years of age. Factors associated with a better result included zone IV or V injury and all postoperative therapy under the direct supervision of the treating surgeon.

Original languageEnglish (US)
Pages (from-to)559-562
Number of pages4
JournalJournal of Hand Surgery
Volume13
Issue number4
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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