Tendon Surgery
A 45-year-old carpenter presents 6 months after a crushing injury to his dominant hand. He has complete loss of index finger extension at the MCP joint with significant scarring over the dorsal hand. Previous attempts at direct repair have failed, and there is extensive adhesion formation around the extensor mechanism. The surgeon discusses staged reconstruction options. Regarding staged extensor tendon reconstruction:
Mark each as TRUE or FALSE
STAGED RECONSTRUCTION is indicated when: (1) significant scarring/adhesion formation precludes direc...
STAGE 1 procedure: debride scar tissue and adhesions; pass SILICONE ROD (Hunter rod) from muscle-ten...
Staged reconstruction has 100% success rate; the silicone rod should be left permanently without sec...
STAGE 2 procedure: incise over the proximal and distal rod ends; attach tendon graft (palmaris longu...
Tendon graft options for reconstruction: PALMARIS LONGUS (absent in 15% of population); PLANTARIS; l...
Answer the questions to see explanations
Click T (True) or F (False) for each option