Ischaemic contracture of the hand

Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed loope...

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Main Author: G. Balakrishnan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2006-01-01
Series:Indian Journal of Plastic Surgery
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699134
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author G. Balakrishnan
author_facet G. Balakrishnan
author_sort G. Balakrishnan
collection DOAJ
description Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed looped sutures (supramid). This is not available in many countries and we describe a technique whereby looped sutures can be introduced in flexor tendon repair by the use of 23 G hypodermic needle and conventional 4.0 or 5.0 sutures. This is an alternative when the custom made preformed sutures are not available. This can be practiced in zone 3 to zone 5 repairs. Technical difficulties limit its use in zone 2 repairs.
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1998-376X
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-a19193eea2ca4f3cb866ed9c2d2c7c792025-08-20T02:20:42ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2006-01-0139019410210.1055/s-0039-1699134Ischaemic contracture of the handG. Balakrishnan0Right Hospitals, Kilpauk, Chennai - 600 010, Formerly Professor and Head, Institute for Research and Rehabilitation of Hand and Department of Plastic Surgery, Stanley Medical College and Govt. Stanley Hospital, Chennai - 600 001Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed looped sutures (supramid). This is not available in many countries and we describe a technique whereby looped sutures can be introduced in flexor tendon repair by the use of 23 G hypodermic needle and conventional 4.0 or 5.0 sutures. This is an alternative when the custom made preformed sutures are not available. This can be practiced in zone 3 to zone 5 repairs. Technical difficulties limit its use in zone 2 repairs.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699134
spellingShingle G. Balakrishnan
Ischaemic contracture of the hand
Indian Journal of Plastic Surgery
title Ischaemic contracture of the hand
title_full Ischaemic contracture of the hand
title_fullStr Ischaemic contracture of the hand
title_full_unstemmed Ischaemic contracture of the hand
title_short Ischaemic contracture of the hand
title_sort ischaemic contracture of the hand
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699134
work_keys_str_mv AT gbalakrishnan ischaemiccontractureofthehand