Flexor Tendon Adhesion Release

It is suitable for the middle-left middle middle finger volar cut injury half a year ago, which refers to the deep flexor tendon rupture, and is a stage of tendon suture. Postoperative tendon adhesions. The middle finger can be basically straightened before surgery. The middle finger of the middle finger cannot be actively flexed before surgery. Since the patients in hand surgery are mostly manual workers, the epidermis of the hands is thick and often has dirt remaining, and must be thoroughly cleaned to ensure cleanliness. Treatment of diseases: finger flexor tenosynovitis, hand flexor tendon injury Indication It is suitable for the middle-left middle middle finger volar cut injury half a year ago, which refers to the deep flexor tendon rupture, and is a stage of tendon suture. Postoperative tendon adhesions. The middle finger can be basically straightened before surgery. The middle finger of the middle finger cannot be actively flexed before surgery. Contraindications 1. If it is an elderly patient, it is best not to have surgery after the long-term plaster bandage is fixed, and it is estimated that the joint movement is not easy to recover completely. 2. If it is difficult to obtain cooperation due to its young age, it should be carefully considered. Preoperative preparation Since the patients in hand surgery are mostly manual workers, the epidermis of the hands is thick and often has dirt remaining, and must be thoroughly cleaned to ensure cleanliness. After admission, the patient is immersed in warm water and scrubs the hands every day. At the same time, the patient is urged and instructed to strengthen the functional exercises of the hand joints before the operation. The passive flexion and extension of the interphalangeal joints and the metacarpophalangeal joints enable the passive movement of the hand joints. It is soft and flexible, creating good conditions for the efficacy of surgery. Prepare the skin 1 day before the operation, scrape the hair from the affected limb and the armpit, and cut off the nail of the affected hand. Be careful when shaving the hair at the armpit or scar tissue. Do not scratch the skin. The uneven hair can be cut off with small scissors. Check the operation area for rash, carbuncle, and bathe the patient and focus on cleaning the skin preparation area. Tendon lysis is a sterile elective surgery, and only careful preparation before surgery can minimize wound infection. No postoperative infection occurred in this group of patients. Surgical procedure 1, the middle finger side of the square incision, revealing the flexor tendon sheath, see the deep flexor tendon suture and the middle section of the tendon sheath adhesion. Excision of the adherent tendon sheath wall, retention of the 4 pulley, free tendon. 2, the distal palm transverse spinning to make a small transverse incision, revealing and pulling the finger flexor tendon, see the middle finger far and near interphalangeal joints can fully flex, indicating that the tendon is loose. 3. Close the wound after adequate hemostasis. complication Suppurative infection, infected wounds have pain, redness, tenderness, purulent secretions, etc., body temperature can be increased and neutrophils can be increased. Closed wounds may also be associated with various infections, such as post-injury aspiration, airway endocrine retention, and atelectasis secondary lung infections. Tetanus or gas gangrene may also occur after the injury, and the consequences are quite serious.

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