RESEARCH ARTICLE


Intrasynovial Tendon Graft for Chronic Flexor Tendon Laceration of the Finger: A Case Report



Jun Sasaki, Toshiro Itsubo, Koichi Nakamura, Masanori Hayashi, Shigeharu Uchiyama*, Hiroyuki Kato
Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto-City, Nagano 390-8621, Japan


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Creative Commons License
© Sasaki et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto-City, Nagano 390-8621, Japan; Tel: 81-263-37-3095; Fax: 81-263-35-8844; E-mail: sigeuti@shinshu-u.ac.jp


Abstract

We present the case of a patient with flexor digitorum profundus tendon laceration at the A2 pulley level caused by an injury to the base of the right ring finger by a knife. The patient was treated by flexor tendon reconstruction from the palm to the fingertip by using the left second toe flexor tendon as a graft, which improved the active range of motion. Further improvement was achieved by subsequent tenolysis, which eventually restored nearly normal function. Our experience with this case indicates that the intrasynovial tendon is a reasonable graft source for the synovial space in fingers and may enable restoration of excellent postoperative function.

Keywords: : Flexor tendon graft, intrasynovial tendon, friction, tenolysis.