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Journal of Hand Surgery (British and European Volume)
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Articles

Two-Staged Reconstruction of the Flexor Pollicis Longus Tendon

F. UNGLAUB
C. BULTMANN
A. REITER
P. HAHN

From Handsurgery, Vulpiusklinik, Bad Rappenau, Germany and Handsurgery, Rhon-Klinikum, Bad Neustadt, Germany

Correspondence: P. Hahn MD, PhD, Handsurgery, Vulpiusklinik, Vulpiusstraße 29, 74906 Bad Rappenau, Germany. Tel.: +49 7264 60133; fax: +49 7264 60267. E-mail: hahn{at}vulpiusklinik.de

The purpose of this study was to evaluate the results of two-stage reconstruction of the flexor pollicis longus (FPL) tendon. Sixteen patients who underwent reconstructive surgery of the FPL tendon were assessed retrospectively. Eight weeks after implantation of a silastic spacer, a tendon graft was used for reconstruction (thirteen palmaris longus tendons, two plantaris tendons, one half of the flexor carpi radialis tendon). Power grip, active range of motion, passive range of motion, the Buck-Gramcko assessment, the ASSH assessment and the DASH score were used to evaluate the results. Adequate function in 75% of the cases and a median of 11 on the DASH score was achieved. The results showed that two-stage reconstruction of the FPL tendon can produce satisfactory results, even if primary repair is the ideal.

Key Words: flexor pollicis longus tendon • two-staged reconstruction • arthrodesis • functional outcome

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 4, 432-435 (2006)
DOI: 10.1016/J.JHSB.2006.02.014
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