Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods

Summary:. The extensor system of the hand is an intricate complex component that involves a working balance between the extrinsic and intrinsic muscles of extension. Injuries to the extensor tendons are typically repaired primarily or by tendon transfers or grafts at a second stage. A 16-year-old bo...

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Autores principales:	Mohammad KH.B. Abdulaziz, MBBS, Ahmad B. Al-Ali, MBBS, MSc, Zakariya Hassan, MD, Mahmoud Abdelaty, MD, EBOPRAS, Qutaiba A. Alkandari, MD, Nelson Sarto Piccolo, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/640fbe3a05894569b144eb8766233fc6
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spelling	oai:doaj.org-article:640fbe3a05894569b144eb8766233fc62021-11-25T07:57:34ZTwo-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods2169-757410.1097/GOX.0000000000003858https://doaj.org/article/640fbe3a05894569b144eb8766233fc62021-10-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003858https://doaj.org/toc/2169-7574Summary:. The extensor system of the hand is an intricate complex component that involves a working balance between the extrinsic and intrinsic muscles of extension. Injuries to the extensor tendons are typically repaired primarily or by tendon transfers or grafts at a second stage. A 16-year-old boy sustained a right hand crush injury following an all-terrain vehicle accident, resulting in the loss of dorsal skin and extensor tendons of digits 3, 4, and 5 involving extensor zones 4–6, and oblique fractures in the second and third metacarpal bones. Primary surgery involved fixation of aforementioned fractures utilizing K-wires along with superficial circumflex iliac artery flap coverage for the raw areas post debridement. Following this, primary extensor tendon reconstruction was performed using silicon Hunter rod implants and autologous tendon grafts via a two-stage approach. Over a 2-year postoperative period, the patient demonstrated active functional extension of all four fingers with some limitations to range of motion. This case report supports the hypothesis that the pseudo-synovial sheaths created by silicone rod implants assist the easy gliding motion of tendon grafts in the second stage of reconstruction, reducing the risk of tendon adhesions, shortening, and extension lag.Mohammad KH.B. Abdulaziz, MBBSAhmad B. Al-Ali, MBBS, MScZakariya Hassan, MDMahmoud Abdelaty, MD, EBOPRASQutaiba A. Alkandari, MDNelson Sarto Piccolo, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 10, p e3858 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Mohammad KH.B. Abdulaziz, MBBS Ahmad B. Al-Ali, MBBS, MSc Zakariya Hassan, MD Mahmoud Abdelaty, MD, EBOPRAS Qutaiba A. Alkandari, MD Nelson Sarto Piccolo, MD Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
description	Summary:. The extensor system of the hand is an intricate complex component that involves a working balance between the extrinsic and intrinsic muscles of extension. Injuries to the extensor tendons are typically repaired primarily or by tendon transfers or grafts at a second stage. A 16-year-old boy sustained a right hand crush injury following an all-terrain vehicle accident, resulting in the loss of dorsal skin and extensor tendons of digits 3, 4, and 5 involving extensor zones 4–6, and oblique fractures in the second and third metacarpal bones. Primary surgery involved fixation of aforementioned fractures utilizing K-wires along with superficial circumflex iliac artery flap coverage for the raw areas post debridement. Following this, primary extensor tendon reconstruction was performed using silicon Hunter rod implants and autologous tendon grafts via a two-stage approach. Over a 2-year postoperative period, the patient demonstrated active functional extension of all four fingers with some limitations to range of motion. This case report supports the hypothesis that the pseudo-synovial sheaths created by silicone rod implants assist the easy gliding motion of tendon grafts in the second stage of reconstruction, reducing the risk of tendon adhesions, shortening, and extension lag.
format	article
author	Mohammad KH.B. Abdulaziz, MBBS Ahmad B. Al-Ali, MBBS, MSc Zakariya Hassan, MD Mahmoud Abdelaty, MD, EBOPRAS Qutaiba A. Alkandari, MD Nelson Sarto Piccolo, MD
author_facet	Mohammad KH.B. Abdulaziz, MBBS Ahmad B. Al-Ali, MBBS, MSc Zakariya Hassan, MD Mahmoud Abdelaty, MD, EBOPRAS Qutaiba A. Alkandari, MD Nelson Sarto Piccolo, MD
author_sort	Mohammad KH.B. Abdulaziz, MBBS
title	Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
title_short	Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
title_full	Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
title_fullStr	Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
title_full_unstemmed	Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods
title_sort	two-stage reconstruction of hand extensor tendons using silicon rods
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/640fbe3a05894569b144eb8766233fc6
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Two-stage Reconstruction of Hand Extensor Tendons Using Silicon Rods

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