iến sĩ Lilly là Giám đốc thường trú, Khoa Chỉnh hình, Đại học Bắc Carolina Trường Y, Chapel Hill, NC. Tiến sĩ Messer là Trợ lý Giáo sư, Khoa Chỉnh hình, Đại học Bắc Carolina Trường Y, Chapel Hill, NC. Không ai trong số các tác giả sau đây hoặc các phòng ban mà họ là chi nhánh đã nhận được bất cứ thứ gì có giá trị từ hoặc sở hữu cổ phiếu | Complications After Treatment of Flexor Tendon Injuries Soma I. Lilly MD Terry M. Messer MD Dr. Lilly is Chief Resident Department of Orthopaedics University of North Carolina School of Medicine Chapel Hill NC. Dr. Messer is Assistant Professor Department of Orthopaedics University of North Carolina School of Medicine Chapel Hill NC. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Lilly and Dr. Messer. Reprint requests Dr. Messer Wake Orthopaedics LLC 3009 New Bern Avenue Raleigh NC 27610. J Am Acad Orthop Surg 2006 14 387-396 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract The goals of flexor tendon repair are to promote intrinsic tendon healing and minimize extrinsic scarring in order to optimize tendon gliding and range of motion. Despite advances in the materials and methods used in surgical repair and postoperative rehabilitation complications following flexor tendon injuries continue to occur even in patients treated by experienced surgeons and therapists. The most common complication is adhesion formation which limits active range of motion. Other complications include joint contracture tendon rupture triggering and pulley failure with tendon bowstringing. Less common problems include quadriga swan-neck deformity and lumbrical plus deformity. Meticulous surgical technique and early postoperative tendon mobilization in a well-supervised therapy program can minimize the frequency and severity of these complications. Prompt recognition of problems and treatment with hand therapy splinting and or surgery may help minimize recovery time and improve function. In the future the use of novel biologic modulators of healing may nearly eliminate complications associated with flexor tendon injuries. Tendon lacerations within the digital sheath are difficult to .
