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Transcript of Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles,...
![Page 1: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/1.jpg)
Flexor Tendon Repair and Rehabilitation
by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge
J Bone Joint Surg AmVolume 84(9):1684-1706
September 1, 2002
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/2.jpg)
The annular pulleys (A1 through A5) and cruciform pulleys (C1, C2, and C3) hold the flexor tendon within the flexor sheath and prevent bowstringing.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/3.jpg)
Surgical approach to the index finger, involving a radial midaxial incision turned across the distal part of the palm to parallel the thenar crease.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/4.jpg)
A drill point passed just proximal to the insertion of the profundus tendon in the base of the distal phalanx.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/5.jpg)
The palmaris longus tendon has been withdrawn in the midpart of the forearm with use of two transverse incisions.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/6.jpg)
The appearance of the digital bed following completion of the distal tendon-bone insertion and suturing of the distal profundus stump to the graft.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/7.jpg)
A long midlateral incision on the radial aspect of the index finger.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/8.jpg)
The appearance of the flexor tendons following tenolysis with maintenance of three annular pulleys.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/9.jpg)
At the conclusion of the procedure, complete release of all restraining adhesions is confirmed either by a proximal "traction check" through a separate wrist incision or preferably by the active
participation of the patient under local anesthesia, as shown.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Flexor Tendon Repair and Rehabilitation by Martin I. Boyer, James W. Strickland, Drew R. Engles, Kavi Sachar, and Fraser J. Leversedge J Bone Joint Surg.](https://reader036.fdocuments.us/reader036/viewer/2022062408/56649ec05503460f94bcc0e4/html5/thumbnails/10.jpg)
A silicone tendon implant in a small finger during stage one of a two-stage flexor tendon reconstruction for functional salvage.
Martin I. Boyer et al. J Bone Joint Surg Am 2002;84:1684-1706
©2002 by The Journal of Bone and Joint Surgery, Inc.