Complications of tendon injuries. Complications . Patients with more advanced infection may require the entire sheath to be surgically exposed to clean out the infection. Generally speaking however the following four specific complications connected to surgery on flexor tendon injuries may be distinguished: Risk of infection At the time the severance took place bacteria travelled from the knife or surrounding skin deep into the wound.
Lilly SI(1), Messer TM. J L Drapé, O Silbermann-Hoffman, P Houvet, T Dubert, A Thivet, Z Benmelha, B Frot, J Y Alnot, R Benacerraf; J L Drapé, O Silbermann-Hoffman, P Houvet, T Dubert, A Thivet, Z Benmelha, B Frot, J Y Alnot, R Benacerraf The most common complication is adhesion formation, which limits active range of motion.
Whereas impressive progress has been made in biomaterials, surgical technique, and rehabilitation protocols, 2 treatment of flexor tendon injuries remains challenging in the modern era of hand surgery.
A cute flexor tendon injuries are uncommon 1 but this debilitating injury can create a substantial burden to the individual and society.
Flexor tendon sheath infection, or pyogenic flexor tenosynovitis is an aggressive, closed-space bacterial infection that can lead to significant morbidity if not effectively managed. Complications during two-stage flexor tendon recon struction may jeopardize the function of the repaired tendons. Their job is to allow the body to move and to transfer weight.
A cut flexor tendon injury is a serious injury. Doctors perform tendon repair surgery to fix a tendon injury. Pyogenic flexor tenosynovitis accounts for 2.5-9.4% 1,2 of all hand infections, and treatment typically consists of intravenous (IV) antibiotics and surgical drainage of the sheath with open or closed irrigation. The wound may be small, but the large forces carried by flexor tendons and the tendency for the repaired tendon to stick to the walls of the tunnel mean that despite a skilled repair and good hand therapy, many fingers do not regain full movement. 1. COMPLICATIONS IN HAND SURGERY. Attention to the carpal tunnel anatomy, meticulous surgical techniques, and safe surgical skills will certainly prevent these complications.
Hand Clin. After a severe infection (and surgery) to a tendon sheath, the gliding motion of the flexor tendon is considerably compromised.
2006 Jul;14(7):387-96. As a general rule, the sooner tendon repair surgery is done after the injury, the easier the surgery is and the easier the recovery. Please contact us as soon as possible to schedule an appointment with our talented team.
If You Believe You Have Finger Flexor Tendon Rupture, Contact HandSport Surgery Institute.
After a flexor tendon repair it is quite common for some fingers not to regain full movement, although the tendon repair will still give a better result than no surgery.
Other complications include joint contracture, tendon rupture, triggering, and pulley failure with tendon bowstringing. Despite the many advances in the surgical and rehabilitative management of flexor tendon injuries, problems of adhesion, contracture, and rupture continue to limit the restoration of function in a significant number of cases. Partial tendon lacerations (partend.htm) should be suspected when the patient has apparent full motion, but has pain when attempting to use the tendon against resistance. flexor tendon injuries are a traumatic condition classified by the zone of injury ... for longer surgery > 2 hours . But repairing the tendon is better than not repairing it.
We reviewed complications encountered in 89 patients ( i09 digits) treated with a two-stage flex or tendon reconstruction using either silicone or Hunter rods.
Flexor tendon injury of little finger, following carpal tunnel release surgery is a rare complication.
Complications after treatment of flexor tendon injuries. People experiencing Finger Flexor Tendon Rupture should be evaluated to optimize their recovery. Missed tendon injuries can occur when either the patient or the initial examining physician fails to appreciate subtle findings. View This Abstract Online; Complications of flexor tendon injuries.