Summary
Forty patients were studied following injuries to a flexor tendon who had undergone multiple operations which had resulted in severe scarring and contracture of the affected finger. They were then treated by release of the contracture and the insertion of a silicone rod along the site of the tendon bed. At a second operation about three months later, the rod was removed and replaced by a tendon graft. Fourteen per cent had an excellent result, 33% were graded good, 36% per cent fair and 17% poor.
Résumé
Etude de 40 blessés, ayant subi de multiples interventions après traumatisme d'un tendon fléchisseur, et présentant finalement de graves cicatrices rétractiles avec raideur du doigt atteint. Ils ont été traités par correction de l'attitude en flexion et par insertion d'une tige de silicone dans le lit du tendon. Dans un deuxième temps, environ trois mois plus tard, la tige est retirée et remplacée par une greffe tendineuse. Quatorze pour cent des résultats sont excellents, 33% sont bons, 36% moyens et 17% mauvais.
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Sakellarides, H.T. The treatment of scarring and flexion contracture after operations for injuries to the flexor tendons of the fingers by implantation of a silicone rod and tendon grafting. International Orthopaedics 5, 225–228 (1981). https://doi.org/10.1007/BF00266687
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DOI: https://doi.org/10.1007/BF00266687