Advances and Challenges in Zone 2 Flexor Tendon Repairs.

IF 1.4 4区 医学 Q3 SURGERY Annals of Plastic Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-19 DOI:10.1097/SAP.0000000000004062
Mae Wimbiscus, Lauren Sullivan, Justin Lee, Ariel Vinson, Ricardo A Torres-Guzman, Justin Stehr, Laxminarayan Bhandari
{"title":"Advances and Challenges in Zone 2 Flexor Tendon Repairs.","authors":"Mae Wimbiscus, Lauren Sullivan, Justin Lee, Ariel Vinson, Ricardo A Torres-Guzman, Justin Stehr, Laxminarayan Bhandari","doi":"10.1097/SAP.0000000000004062","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Flexor zone 2 is the area between the A1 pulley at the distal palmar crease to the insertion of the flexor digitorum superficialis tendon at A4 pulley. Termed \"no man's land,\" primary repair at zone 2 had notoriously high rate of complications such as adhesions, contractures, and tendon rupture. Improved understanding of tendon healing, stronger suture materials, novel operative techniques, judicious pulley venting, and early active rehabilitation have helped improve outcomes. This review examines current methodologies and postoperative considerations for zone 2 flexor tendon repair.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"93 6S Suppl 3","pages":"S138-S143"},"PeriodicalIF":1.4000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SAP.0000000000004062","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/19 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Abstract: Flexor zone 2 is the area between the A1 pulley at the distal palmar crease to the insertion of the flexor digitorum superficialis tendon at A4 pulley. Termed "no man's land," primary repair at zone 2 had notoriously high rate of complications such as adhesions, contractures, and tendon rupture. Improved understanding of tendon healing, stronger suture materials, novel operative techniques, judicious pulley venting, and early active rehabilitation have helped improve outcomes. This review examines current methodologies and postoperative considerations for zone 2 flexor tendon repair.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
第 2 区屈肌腱修复的进展与挑战。
摘要:屈肌2区是指从掌侧远端皱襞的A1滑轮到屈肌浅肌腱插入A4滑轮之间的区域。第 2 区被称为 "无人区",其初次修复并发症(如粘连、挛缩和肌腱断裂)的发生率极高。对肌腱愈合的进一步了解、更强韧的缝合材料、新颖的手术技术、明智的滑轮排气以及早期积极的康复训练都有助于改善治疗效果。本综述探讨了第 2 区屈肌腱修复术的现有方法和术后注意事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
期刊介绍: The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
期刊最新文献
Changing Perspectives in Mastectomy: The Case for Nipple Preservation. Clinical Outcomes of Gender-Affirming Surgery in Individuals With Connective Tissue Disorders. Hourglass Constriction of a Single Fascicle of the Anterior Interosseous Nerve: A Case Report. Interprogram Differences in Core General, Core Plastic, and Plastic Surgery-Adjacent Training. Simple Approach to Cosmetic Medial Epicanthoplasty: A Modification of the Skin Redraping Method.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1