Details

Autor(en) / Beteiligte

• ARORA, R.
• FRITZ, D.
• ZIMMERMANN, R.
• LUTZ, M.
• KAMELGER, F.
• KLAUSER, A. S.
• GABL, M.

Titel

Reconstruction of The Digital Flexor Pulley System: A Retrospective Comparison of Two Methods of Treatment

Ist Teil von

• The Journal of hand surgery, European volume, 2007-02, Vol.32 (1), p.60-66

Ort / Verlag

London, England: SAGE Publications

Erscheinungsjahr

2007

Quelle

MEDLINE

Beschreibungen/Notizen

• The rare injury of closed rupture of the A2 and A3 flexor pulleys was treated using two non-encircling techniques of pulley reconstruction. Thirteen patients were treated with an extensor retinaculum graft (Group A). At a mean follow-up time of 48 months, the average PIP flexion was 97%, the power grip strength 96%, the pinch grip strength 100% and the thickening 94% of the uninjured side. Ten patients were treated with a free palmaris longus tendon grafts (Group B). At a mean follow-up time of 57 months, the average PIP flexion was 94%, the power grip strength 98%, the pinch grip strength 100% and the thickening 95% of the uninjured side. In both groups, finger extension was unrestricted. The Buck Gramcko score included 10 excellent, two good and one fair result in Group A and seven excellent, two good and one fair result in Group B. Both techniques proved beneficial. All climbers returned to their previous standard and all non-climbers regained full finger dexterity in their previous job.