Universität zu Köln

Hohendorff, B., Kaya, H., Spies, C. K., Unglaub, F., Mueller, L. P. and Ries, C. (2020). Tenolysis of extensor and flexor tendons of the hand. Orthopade, 49 (9). S. 771 - 784. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

Background Unrestricted gliding of extensor and flexor tendons is essential for normal functioning of the hand. If tendon gliding is impaired, a restricted range of motion of finger joints and, finally, joint stiffness result. Objectives To answer the questions about the causes of tenodesis in the hand, which examinations are most informative, how tenolysis is technically performed, and what results can be expected. Methods The reasons, examinations, surgical technique, and results of extensor and flexor tendon tenolysis are presented. Results Based on the data in the literature tenolysis of flexor tendons leads to range of motion that is only 50-60% of the preoperative range of motion. In about 20% of patients, deterioration as serious as secondary tendon rupture is observed. Meaningful results of extensor tendon tenolysis have not yet been published. Conclusions Tenolysis of extensor and flexor tendons in the hand is a demanding surgical procedure, and in addition to detailed knowledge of anatomy and biomechanics, it requires sufficient experience-especially following the primary repair of tendon injuries. The earliest indication for tenolysis can occur at about 3 months, usually after 6 months, if continuous intensive hand therapy and splinting have not been successful. General and individual benefits and risks must be carefully weighed. The key to successful tenolysis is the patient's access to and unrestricted participation in competent postoperative treatment, ideally performed by a specialist in hand therapy, which may last for weeks or months.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaya, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-323600
DOI:	10.1007/s00132-020-03965-x
Journal or Publication Title:	Orthopade
Volume:	49
Number:	9
Page Range:	S. 771 - 784
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANTERIOR TENOARTHROLYSIS; GLIDING RESISTANCE; JOINT; PHALANGEAL; FINGERS; SERIES Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32360