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Journal of Hand Surgery (British and European Volume)
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*Hand Injuries and Disorders
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Articles

Primary Extensor Tendon Reconstruction in Dorsal Hand Defects Requiring Free Flaps

L. R. SCHEKER
S. J. LANGLEY
D. L. MARTIN
K. N. JULLIARD

From the Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, Kentucky, USA

Correspondence: Luis R. Scheker, MD, Christine M. Kleinert Institute for Hand and Micro Surgery. 225 Abraham Flexner Way, Suite 850, Louisville, Kentucky 40202, USA.

This study reports results in nine patients with extensive loss of soft tissue, extensor tendon, and bone, treated with an emergency free flap for skin cover, primary bone grafts, and tendon grafts passed through individual tunnels in the free flap. Four had a good result, four were fair and one poor. Six patients returned to work, two were not working and one was retired. In select patients, emergency reconstruction of severe extensor tendon injuries appears to produce better function, with fewer operations, a shorter hospital stay, minimal complications, and a shorter period of disability.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 5, 568-575 (1993)
DOI: 10.1016/0266-7681(93)90005-Z
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