| Sign In to gain access to subscriptions and/or personal tools. |
Flexor tendon pulley V–Y Plasty: an Alternative to Pulley Venting or ResectionFrom the Orthopaedic Research Laboratories, University of New South Wales, Prince of Wales Hospital, Sydney, Australia Correspondence: Dr Eddy Dona, Orthopaedic Research Laboratories, University of New South Wales, Prince of Wales Hospital, Randwick, 2031, Sydney, Australia. Tel.: 612 9382 2657; fax: 612 9382 2660. E-mail: edona{at}plasticsurgery.org.au Zone 2 flexor tendon repairs can require "venting" or partial resection of the A2 and/or A4 pulleys. We propose and biomechanically assess a technique used by the authors in which the A2 and A4 pulleys are divided and repaired using a V–Y plasty. Two groups of cadaveric fingers were used, one group for assessing the A2 pulley and the second for assessing the A4 pulley. Prepared fingers were mounted onto custom-made jigs, tested using a servohydraulic testing machine and assessed for load to failure. The loads obtained were 75N (SD = 26N) and 234N (SD = 73N) for the A4 and A2 pulleys, respectively. These loads are well in excess of those one would anticipate during a postoperative active mobilization protocol. Tendon pulley V–Y plasty creates a mechanically sound pulley and maintains sufficient cover of the underlying tendon. This technique provides access to perform a tendon repair and/or permits free tendon gliding post-repair, thus providing an attractive alternative to simply "venting", or resecting, an otherwise troublesome pulley.
Key Words: flexor tendon • repair • pulley • venting
Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2,
133-137 (2006) |
||||
 |
|
|
 |
|
Sign In to gain access to subscriptions and/or personal tools.
