Tendon Surgery of the Hand

Tendon Surgery of the Hand

Expert Consult - Online and Print

1st Edition - June 7, 2012

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  • Authors: Jin Bo Tang, Peter Amadio, Jean Claude Guimberteau, James Chang
  • eBook ISBN: 9781455737420
  • Hardcover ISBN: 9781437722307

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Get the best results from the latest procedures with Tendon Surgery of the Hand, the only reference that offers comprehensive coverage of this complex and challenging area. World-renowned experts guide you through all of the newest techniques and technologies, equipping you to restore optimal function in your patients. It's your one-stop source for mastering today's best approaches to treating tendon injuries and disorders of the hand.

Key Features

  • Successfully implement hot new repair techniques involving new suture materials, tendon sheath and pulley treatments, vascularized tendon grafts, and recent postoperative rehabilitation methods.
  • Improve your primary flexor tendon repair and rehabilitation treatment planning based on surgical and post-surgical care principles that clearly describe successful global methods and protocols.
  • Benefit from the collective knowledge and experience of an international group of surgeons, investigators, and therapists who offer unique and insightful techniques and advice.
  • See how to perform key techniques with exclusive operative videos online.
  • Access the complete contents online at expertconsult.com.

Table of Contents

  • Contents

    Section 1: BASIC SCIENCE

     1 Anatomy of the Tendon Systems in the Hand

     2 Tendon Nutrition and Healing

     3 Tendon Friction, Lubrication, and Biomechanics of Motion

     4 Biomechanics of Core and Peripheral Tendon Repairs

     5 Biology and Biomechanics of the Tendon-Bone Insertion

     6 Gene Therapy for Tendon Healing

     7 Tendon Tissue Engineering and Bioactive Suture Repair


     8 Indications for Primary Flexor Tendon Repair

     9 Treatment of the Flexor Tendon Sheath and Pulleys

    10 Venting of the Major Pulleys

    11 The Omega "Ω" Flexor Pulley Plasty

    12 Tendon Sheath and Pulley Enlargement

    13 Clinical Primary Flexor Tendon Repair and Rehabilitation

    A The Bern Experience

    B The Chelmsford Experience

    C The Mayo Clinic Experience

    D The Nantong Experience

    E The Singapore Experience

    F The Stanford Experience

    G The Australian Experience

    H The Wellington Experience

    14 Partial Tendon Lacerations

    15 Flexor Tendon Injuries in Children

    16 Primary Repair of the Flexor Pollicis Longus Tendon

    17 Treatment of Flexor Tendon Injuries at or Proximal to the Wrist

    A Zone 5 Flexor Tendon Repairs

    B Methods and Outcomes of Zone 5 Flexor Tendon Repairs

    18 Flexor Tendon Repairs With Novel Sutures and Devices

    A Mantero’s Technique for Tendon Repair

    B Teno Fix for Tendon Repair

    19 Treatment of Rupture of Primary Flexor Tendon Repairs

    20 Closed Avulsion or Rupture of Flexor Tendons

    A Traumatic Avulsion of Flexor Tendons

    B Tendon Rupture After Fractures or Carpal Disorders

    C Rupture of the Pulleys

    21 The Evolution of End-to-End SurgicalTendon Repairs

    22 Outcomes of Flexor Tendon Repairs and Methods of Evaluation


    23 Tenolysis

    24 Single-Stage Free Tendon Grafting for Flexor Tendon Injury in Fingers

    25 A Historical Perspective on Flexor Tendon Reconstruction and Surgical Procedures

    26 Experience With Secondary Flexor Tendon Repairs

    27 Secondary Reconstruction of the Flexor Pollicis Longus Tendon

    28 Staged Tendon Grafts and Soft Tissue Coverage

    29 Two-Stage Reconstruction With the Modified Paneva-Holevich Technique

    30 Outcomes of the Modified Paneva-Holevich Procedures and Early Postoperative Mobilization

    31 Vascularized Tendon Transfers for Reconstruction

    A Tendon Vascularity and Gliding, Island and Free Vascularized Transfers

    B Physiotherapy After Vascularized Tendon Transfers


    32 Extensor Tendon Injuries—Primary Management

    33 Sagittal Band Injuries—Primary and Secondary Management

    34 Tendon Transfers for Extensor Tendon Reconstruction

    35 Soft Tissue Coverage for Extensor Tendon Reconstruction

    36 Treatment of Boutonnière and Swan-Neck Deformities

    37 Vascularized Tendon Graft for Extensor Tendon Reconstruction


    38 State of the Art Flexor Tendon Rehabilitation

    39 Customizing Flexor Rehabilitation Based on Zone or Type of Injury

    40 State of the Art of Extensor Tendon Rehabilitation

    Online-Only appendixes to 40:

    Appendix 1 Therapy Protocols After Extensor Tendon Repairs: St Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK

    Appendix 2 Therapy Protocols After Extensor Tendon Repair of the Thumb: St Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK

    Appendix 3 Therapy Protocols After Extensor
    Tendon Repairs of Fingers: Mid Essex Hospital Services, St Andrew’s Centre-Hand Therapy,
    Essex, UK

    Appendix 4 The Manchester Regimen for Postoperative Rehabiliation After Finger Extensor Tendon Repairs, Manchester, UK

    Appendix 5 Protocols of Exercise After Repair
    of Extensor Tendon Injuries, Queen Mary Hospital,
    The University of Hong Kong, Hong Kong,

    Appendix 6 Extensor Tendon Rehabilitation Program, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China

    Appendix 7 Therapy Protocols After Extensor Tendon Repair, Springfield, Mass, USA

    Appendix 8 Protocols of Sydney Hand Therapy & Rehabilitation Centre, Sydney, Australia

    Appendix 9 Therapy Protocols from Royal Free Hamstead NHS Trust, London, UK


    41 A Current Status and Future of Flexor Tendon Surgery

    41 B Current Status and Future

    41 C Future of Tendon Surgery of the Hand


    1 Symposium Discussion 1

    2 Symposium Discussion 2

    3 A Postscript About Progression of
    Thought on Primary Tendon Repair


    42 Chemical Modification of Tendon
    Gliding Surface

    43 Tendon Gliding: The Role and Mechanical Behavior of Connective Tissues

    44 Molecular Biology of Tendon Healing

    45 Molecular Methods to Prevent Adhesion Formation

    46 Tendon Repairs in Replantation Surgery

    Online Videos

Product details

  • No. of pages: 480
  • Language: English
  • Copyright: © Saunders 2012
  • Published: June 7, 2012
  • Imprint: Saunders
  • eBook ISBN: 9781455737420
  • Hardcover ISBN: 9781437722307

About the Authors

Jin Bo Tang

Affiliations and Expertise

Professor and Chair

Peter Amadio

Affiliations and Expertise

Professor in Orthopaedics, Consultant in Hand Surgery and Orthopaedic Surgery, Mayo Clinic, Rochester, MN

Jean Claude Guimberteau

Affiliations and Expertise

Plastic Surgeon, Hand Surgery

James Chang

Affiliations and Expertise

Professor and Chief, Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA, USA

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