Abstract
Many surgical techniques have been described for pulley reconstruction to restore hand function.2,3,7,8 Biomechanically, a successfully reconstructed pulley should maintain adequate strength and similar compliance as those of the normal intact ligaments. In addition, it should provide the proper constraint of tendon to restore the functions of the digits. In this study, the efficacy of different types of pulley reconstruction on hand function were compared based on the joint motion and tendon excursion measurements. The mechanical properties of reconstructed pulleys were also tested to determine the strength and stiffness.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
K.N. An, E.Y.S. Chao, W.P. Cooney, and R.L. Linscheid, Tendon excursion and moment arm of index finger muscles, J. Biomech. 16(6):419 (1983).
A. Karev, S. Stahl, and A. Taran, The mechanical efficiency of the pulley system in normal digits compared with a reconstructed system using the “belt loop” technique, J. Hand Surg., 12A(4):596 (1987).
H.E. Kleinert, and J.B. Bennett, Digital pulley reconstruction employing the always present rim of the previous pulley, J. Hand Surg. 3:297 (1978).
G.T. Lin, P.C. Amadio, K.N. An, and W.P. Cooney, Functional anatomy of the human digital flexor pulley system, J. Hand Surg. 14A:949 (1989a).
G.T. Lin, P.C. Amadio, K.N. An, W.P. Cooney, and E.Y.S. Chao, Biomechanical analysis of finger flexor pulley reconstruction, J. Hand Surg. 14B:278 (1989b).
G.T. Lin, W.P.C. Cooney, P.C. Amadio, and K.N. An, Mechanical properties of human pulleys, J. Hand Surg. 15B:429 (1990).
I. Okutsu, S. Ninomiya, S. Hiraki, H. Inanami, and N. Kuroshima, Three-loop technique for A2 pulley reconstruction, J. Hand Surg. 12A:5(1):790 (1987).
L.H. Schneider, and J.M. Hunter, Flexor tendons — late reconstruction, in: “Operative Hand Surgery (2nd Edition),” D. P. Green, ed., Churchill Livingstone, New York, 3:2020 (1988).
F. Schuind, M. Garcia-Elias, W.P.C. Cooney, and K.N. An, Flexor tendon forces: in vivo measurements, J. Hand Surg. 17A:291 (1992).
C.E. Verdan, Syndrome of the quadriga, Surg. Clin. of N. Am. 40:425 (1960).
A. Weilby, Personal Communication, (Reference in paper of Kleinert and Bennett, 1978) (1973).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer Science+Business Media New York
About this chapter
Cite this chapter
An, KN., Lin, GT., Amadio, P.C., Cooney, W.P., Chao, E.Y.S. (1994). Biomechanics of Flexor Pulley Reconstruction. In: Schuind, F., An, K.N., Cooney, W.P., Garcia-Elias, M. (eds) Advances in the Biomechanics of the Hand and Wrist. NATO ASI Series, vol 256. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9107-5_7
Download citation
DOI: https://doi.org/10.1007/978-1-4757-9107-5_7
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-9109-9
Online ISBN: 978-1-4757-9107-5
eBook Packages: Springer Book Archive