Flexor tendon reconstruction: Second stage
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Learn the Flexor tendon reconstruction: Second stage 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: Second stage 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 we demonstrate the second stage of a two stage flexor tendon reconstruction. The first stage is available as a separate section in Orthoracle and is intended to be read before this section as some key concepts are covered there.
In summary the second stage involves replacing the passive silicone tendon implants with tendon autograft.
Readers will also find of use the following OrthOracle technique:
Author:Tahseen Chaudhry, Consultant hand and peripheral nerve Surgeon
Institution: Peripheral Nerve Unit, Birmingham hand centre, Queen Elizabeth Hospital, Birmingham, UK.
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Question 1 of 10
Which one of the following is the typical time frame between first and second stage flexor tendon reconstruction?CorrectIncorrect
Question 2 of 10
According to Boyes’ pre-operative injury classification which one of the following grades represents a finger that is supple without any joint contracture?CorrectIncorrect
Question 3 of 10
Which one of the following imaging modalities is used prior to the second stage reconstruction to confirm the position of the silicone rod?CorrectIncorrect
Question 4 of 10
The mini-Mitek device contains which one of the following suture types?CorrectIncorrect
Question 5 of 10
Which one of the following post operative dressings are recommended immediatelt following second stage reconstruction?CorrectIncorrect
Question 6 of 10
In the absence of palmaris longus which one of the following is a suitable substitute donor tendonCorrectIncorrect
Question 7 of 10
Which one of the following is the typical length of graft that is obtained from palmaris longus tendon?CorrectIncorrect
Question 8 of 10
The intima of the pseudosheath contains which one of the following cell types?CorrectIncorrect
Question 9 of 10
The tension in the flexor tendon reconstruction is in reference to which one of the following?CorrectIncorrect
Question 10 of 10
Which one of the following is a feature of tendon grafts of intrasynovial origin?CorrectIncorrect