Flexor tendon reconstruction: First stage using silicone spacer
Subscribe to get full access to this operation and the extensive Upper Limb & Hand Surgery Atlas.
Learn the Flexor tendon reconstruction: First stage using silicone spacer surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Flexor tendon reconstruction: First stage using silicone spacer 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.
Readers will also find the following OrthOracle techniques of use:
Author: Tahseen Chaudhry, Consultant Hand and Peripheral Nerve surgeon
Institution: Peripheral Nerve Unit, Birmingham hand centre, Queen Elizabeth Hospital Birmingham
Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.