Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer
نویسندگان
چکیده
منابع مشابه
Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer
Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly...
متن کاملWide-awake flexor tendon repair.
The wide-awake approach to hand surgery is performed with no sedation and no tourniquet. Only locally injected tumescent lidocaine and epinephrine are used for anesthesia and hemostasis. The confirmation that epinephrine hemostasis in the finger is safe1–5 has permitted the use of this technique, which has now become widespread in Canada. With exceptions that include hand surgery in small child...
متن کاملWide Awake Flexor Tendon Repair in the Finger
W ide awake flexor tendon repair means no tourniquet and no sedation tendon repair under pure local lidocaine and epinephrine finger and hand anesthesia. The 5 main advantages of doing the repair this way in the unsedated patient are as follows: (1) fewer postoperative ruptures happen because intraoperative testing of the tendon repair reveals gaps in 7% of cases that are repaired before skin c...
متن کاملRehabilitation after flexor tendon repair, reconstruction, and tenolysis.
Flexor tendon rehabilitation after injury and surgical intervention has progressed over the last several decades. This evolution has left a vast amount of information for the hand therapy clinician. The hand therapist treating a primary flexor tendon repair can easily feel daunted, confused, and apprehensive because of the sheer amount of information before him or her, which may lead to patient...
متن کاملDecreasing tendon rupture and tenolysis with wide awake surgery
There are 5 main reasons that I never want to repair a flexor tendon in sedated patients ever again. If a patient is wide awake (unsedated) with no tourniquet and only lidocaine with epinephrine is used in the fingers and hand for local anesthesia and hemostasis, 5 major things happen to improve the results: 1) Decrease rupture rate with intraoperative active testing of repair: Injection of onl...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Clinics in Orthopedic Surgery
سال: 2015
ISSN: 2005-291X,2005-4408
DOI: 10.4055/cios.2015.7.3.275