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A Loop Suture for Dynamic Tendon Transfer in the Repair of Chronic or Acute Extensor Pollicis Longus Ruptures

Abad, Jose M. MD*; Garcia-Lopez, Ignacio MD*; Torrejón, Eduardo F. MD; Garcia de Lucas, Fernando MD, PhD*

Techniques in Hand & Upper Extremity Surgery: June 2014 - Volume 18 - Issue 2 - p 62–65
doi: 10.1097/BTH.0000000000000033
Techniques

Ruptures of extensor pollicis longus (EPL) tendon may need a tendon transfer for repair, especially in chronic ruptures. We describe a novel transfer technique using a loop-tendon suture for dynamic transfer of extensor pollicis brevis to EPL. We performed an end-to-side transfixing-loop self-locking suture preserving the extensor pollicis brevis, which acts as a motor unit for the distal end of the repaired tendon. Contraindications would mainly be simultaneous rupture of EPL and brevis tendons. No complications were observed, except for mild metacarpal-phalangeal stiffness in chronic ruptures. An early rehabilitation program may be started when no other associated injuries exist.

*Upper Limb Unit

Department of Orthopedics, Hospital Fremap Majadahonda, Majadahonda, Madrid, Spain

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Ignacio Garcia-Lopez, MD, Hospital Fremap Majadahonda, ctra pozuelo, No. 61 Majadahonda, Madrid 28222, Spain. E-mail: dr.joseignaciogarcialopez@gmail.com.

© 2014 by Lippincott Williams & Wilkins