Tendon Surgery of the Hand

Contents

Section 1: BASIC SCIENCE

 1 Anatomy of the Tendon Systems in the Hand

 2 Tendon Nutrition and Healing

 3 Tendon Friction, Lubrication, and Biomechanics of Motion

 4 Biomechanics of Core and Peripheral Tendon Repairs

 5 Biology and Biomechanics of the Tendon-Bone Insertion

 6 Gene Therapy for Tendon Healing

 7 Tendon Tissue Engineering and Bioactive Suture Repair

Section 2: PRIMARY FLEXOR TENDON SURGERY

 8 Indications for Primary Flexor Tendon Repair

 9 Treatment of the Flexor Tendon Sheath and Pulleys

10 Venting of the Major Pulleys

11 The Omega "Ω" Flexor Pulley Plasty

12 Tendon Sheath and Pulley Enlargement

13 Clinical Primary Flexor Tendon Repair and Rehabilitation

A The Bern Experience

B The Chelmsford Experience

C The Mayo Clinic Experience

D The Nantong Experience

E The Singapore Experience

F The Stanford Experience

G The Australian Experience

H The Wellington Experience

14 Partial Tendon Lacerations

15 Flexor Tendon Injuries in Children

16 Primary Repair of the Flexor Pollicis Longus Tendon

17 Treatment of Flexor Tendon Injuries at or Proximal to the Wrist

A Zone 5 Flexor Tendon Repairs

B Methods and Outcomes of Zone 5 Flexor Tendon Repairs

18 Flexor Tendon Repairs With Novel Sutures and Devices

A Mantero’s Technique for Tendon Repair

B Teno Fix for Tendon Repair

19 Treatment of Rupture of Primary Flexor Tendon Repairs

20 Closed Avulsion or Rupture of Flexor Tendons

A Traumatic Avulsion of Flexor Tendons

B Tendon Rupture After Fractures or Carpal Disorders

C Rupture of the Pulleys

21 The Evolution of End-to-End SurgicalTendon Repairs

22 Outcomes of Flexor Tendon Repairs and Methods of Evaluation

Section 3: SECONDARY FLEXOR TENDON SURGERY

23 Tenolysis

24 Single-Stage Free Tendon Grafting for Flexor Tendon Injury in Fingers

25 A Historical Perspective on Flexor Tendon Reconstruction and Surgical Procedures

26 Experience With Secondary Flexor Tendon Repairs

27 Secondary Reconstruction of the Flexor Pollicis Longus Tendon

28 Staged Tendon Grafts and Soft Tissue Coverage

29 Two-Stage Reconstruction With the Modified Paneva-Holevich Technique

30 Outcomes of the Modified Paneva-Holevich Procedures and Early Postoperative Mobilization

31 Vascularized Tendon Transfers for Reconstruction

A Tendon Vascularity and Gliding, Island and Free Vascularized Transfers

B Physiotherapy After Vascularized Tendon Transfers

Section 4: EXTENSOR TENDON REPAIR AND RECONSTRUCTION

32 Extensor Tendon Injuries—Primary Management

33 Sagittal Band Injuries—Primary and Secondary Management

34 Tendon Transfers for Extensor Tendon Reconstruction

35 Soft Tissue Coverage for Extensor Tendon Reconstruction

36 Treatment of Boutonnière and Swan-Neck Deformities

37 Vascularized Tendon Graft for Extensor Tendon Reconstruction

Section 5: REHABILITATION OF TENDON SURGERY

38 State of the Art Flexor Tendon Rehabilitation

39 Customizing Flexor Rehabilitation Based on Zone or Type of Injury

40 State of the Art of Extensor Tendon Rehabilitation

Online-Only appendixes to 40:

Appendix 1 Therapy Protocols After Extensor Tendon Repairs: St Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK

Appendix 2 Therapy Protocols After Extensor Tendon Repair of the Thumb: St Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK

Appendix 3 Therapy Protocols After Extensor Tendon Repairs of Fingers: Mid Essex Hospital Services, St Andrew’s Centre-Hand Therapy, Essex, UK

Appendix 4 The Manchester Regimen for Postoperative Rehabiliation After Finger Extensor Tendon Repairs, Manchester, UK

Appendix 5 Protocols of Exercise After Repair of Extensor Tendon Injuries, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China

Appendix 6 Extensor Tendon Rehabilitation Program, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China

Appendix 7 Therapy Protocols After Extensor Tendon Repair, Springfield, Mass, USA

Appendix 8 Protocols of Sydney Hand Therapy & Rehabilitation Centre, Sydney, Australia

Appendix 9 Therapy Protocols from Royal Free Hamstead NHS Trust, London, UK

Section 6: CURRENT STATUS AND FUTURE

41 A Current Status and Future of Flexor Tendon Surgery

41 B Current Status and Future

41 C Future of Tendon Surgery of the Hand

Appendixes

1 Symposium Discussion 1

2

Symposium Discussion 2

3

A Postscript About Progression of Thought on Primary Tendon Repair

ONLINE-ONLY CHAPTERS

42 Chemical Modification of Tendon Gliding Surface

43 Tendon Gliding: The Role and Mechanical Behavior of Connective Tissues

44 Molecular Biology of Tendon Healing

45 Molecular Methods to Prevent Adhesion Formation

46 Tendon Repairs in Replantation Surgery

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