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First stage flexor tendon reconstruction surgical technique

Overview

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Learn the First stage flexor tendon reconstruction surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the First stage flexor tendon reconstruction surgical procedure.

There are a number of clinical scenarios where primary tendon repair is not a feasible option and some form of graft reconstruction is required. This may be performed as a single or a two stage procedure.

Here I demonstrate the first stage of a two stage flexor tendon reconstruction.

It was in 1963 that Basset and Carrol first described the use of silicone implants in tendon reconstruction and later Hunter (1971) described the two staged technique for flexor tendon reconstruction.

In summary the process involves using passive silicone tendon implants at the first procedure to re-establish a suitable biological environment for subsequent placement of tendon grafts.

The second stage of this technique is covered on OrthOracle at https://www.orthoracle.com/library/flexor-tendon-reconstruction-2nd-stage/

 

Author: Tahseen Chaudhry, Consultant Hand and Peripheral Nerve surgeon

Institution: Peripheral Nerve Unit, Birmingham hand centre, Queen Elizabeth Hospital Birmingham

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CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

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