Staged flexor tendon reconstruction in the fingers and hand

Peter C Amadio, M. B. Wood, W. P. Cooney, S. D. Bogard

Research output: Contribution to journalArticle

72 Citations (Scopus)

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
StatePublished - 1988

Fingerprint

Tendons
Fingers
Hand
Reflex Sympathetic Dystrophy
Wounds and Injuries
Amputation
Rupture
Infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Amadio, P. C., Wood, M. B., Cooney, W. P., & Bogard, S. D. (1988). Staged flexor tendon reconstruction in the fingers and hand. Journal of Hand Surgery, 13(4), 559-562.

Staged flexor tendon reconstruction in the fingers and hand. / Amadio, Peter C; Wood, M. B.; Cooney, W. P.; Bogard, S. D.

In: Journal of Hand Surgery, Vol. 13, No. 4, 1988, p. 559-562.

Research output: Contribution to journalArticle

Amadio, PC, Wood, MB, Cooney, WP & Bogard, SD 1988, 'Staged flexor tendon reconstruction in the fingers and hand', Journal of Hand Surgery, vol. 13, no. 4, pp. 559-562.
Amadio, Peter C ; Wood, M. B. ; Cooney, W. P. ; Bogard, S. D. / Staged flexor tendon reconstruction in the fingers and hand. In: Journal of Hand Surgery. 1988 ; Vol. 13, No. 4. pp. 559-562.
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