Zusammenfassung
Hintergrund
Der Erfolg der Beugesehnennaht hängt von vielen Faktoren ab. Ein wichtiger Faktor ist dabei die Sehnennahttechnik, die bei Beugesehnen wesentlich aufwendiger und exakter ausgeführt werden muss als an allen anderen Sehnen des Körpers.
Fragestellung
Welche bedeutenden operationstechnischen Punkte müssen bei der Beugesehnennaht beachtet werden?
Methode
Die bedeutendsten technischen Details zur Beugesehnennaht aus der Literatur und der persönlichen Erfahrung werden zusammengestellt.
Ergebnisse
Es werden Details zur Kernnaht, zur Ringnaht, zur Reißfestigkeit, zum Nahtmaterial, zur Lückenbildung, zur Durchblutung der Sehne bei liegender Naht, zum Gleitverhalten und zur Sehnenstumpfanfrischung diskutiert.
Schlussfolgerungen
Die Beugesehnennaht muss sehr sorgfältig und gewebeschonend ausgeführt werden.
Abstract
Background
The success of the flexor tendon suture depends on many factors. An important factor is that the tendon suture technique that must be carried out for flexor tendons is considerably more complex and more precise than for all other tendons of the body.
Objectives
To discover important technical points that need to be considered during flexor tendon suturing.
Method
We compiled the most important technical details in flexor tendon suturing from the literature and from personal experience.
Results
Details on core suture, peripheral suture, the tensile strength, gapping, the circulation of sutured tendons, gliding resistance and excisions are discussed.
Conclusions
Flexor tendon suturing must be performed taking great care to conserve tissue.
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M. F. Langer, S. Oeckenpöhler, C. Kösters, K. Herrmann und B. Wieskötter geben an, dass kein Interessenkonflikt besteht.
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Langer, M., Oeckenpöhler, S., Kösters, C. et al. Nahttechniken für Beugesehnen der Hand. Orthopäde 44, 748–756 (2015). https://doi.org/10.1007/s00132-015-3153-5
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DOI: https://doi.org/10.1007/s00132-015-3153-5