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Journal of Hand Surgery (British and European Volume)
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Articles

Reconstruction of the Flexor Tendon Sheath

An experimental study in rabbits

T. S. OEI
P. J. KLOPPER
J. A. J. SPAAS
P. BUMA

From the University Hospital Academic Medical Centre, Department of Experimental Surgery, Amsterdam, Zuiderziekenhuis, Rotterdam and the Laboratory for Experimental Orthopaedics, University of Nijmegen, The Netherlands

Correspondence: T. S. Oei, MD, PhD, Senior Registrar in Orthopaedic Surgery, p/a University Hospital Academic Medical Centre, Department of Experimental Surgery, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

The role of the tendon sheath in flexor tendon healing was investigated in rabbits. Tendon sheath was reconstructed with syngeneic parietal peritoneum or a non-tanned processed porcine collagen membrane.

Resection of the tendon sheath led to adhesions. Reconstruction of the sheath with either graft resulted in a synovial–like lining, resembling a neo-tendon sheath. Even when combined with tendon repair a neo-tendon sheath was seen after reconstruction with both grafts, without adhesions. Subcutaneously implanted processed porcine collagen membrane was completely resorbed in less than 3 months.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 1, 72-83 (1996)
DOI: 10.1016/S0266-7681(96)80017-9
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