Tips and tricks for getting more out of your delayed primary repair of ruptured flexor pollicis longus tendon

作     者：Charles Yuen Yung Loh Alethea Tan Makarand Tare 

作者机构：St Andrew's Centre for Plastic and Reconstructive SurgeryBroomfield HospitalChelmsford CM17ETUK 

出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)

年 卷 期：2017年第4卷第8期

页      面：135-136页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Primary Presentation Armamentarium 

摘      要：Sir, Primary tendon repairs are often difficult in patients with delayed presentation. Tendons are contracted and shortened with extensive scarring occurring along the path of the tendon. Pulleys and the wound bed can be filled with granulation tissue which obstructs the passage of the tendon. Many of such patients would then be treated with a two stage tendon reconstruction, which involves the insertion of a silicone rod for pseudosheath formation[1] before tendon grafting at a second stage. This however, would set the patient back for roughly six months, especially involving multiple visits to physiotherapy and being off work. We would like to describe several tips and tricks in our armamentarium and illustrate these using a case we recently encountered [Figure 1].