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Failed Extensor Tendon Repairs

Extensor Tenolysis and Reconstruction

Desai, Mihir J. MD; Wanner, John P. MD; Lee, Donald H. MD; Gauger, Erich M. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: August 01, 2019 - Volume 27 - Issue 15 - p 563–574
doi: 10.5435/JAAOS-D-18-00218
Review Article

Extensor tendon injuries are common and require a complex treatment strategy to appropriately manage them, including initial repair, revision/reconstruction options, and postoperative protocols. Intrinsic and extrinsic components of the extensor mechanism contribute to a complex anatomic apparatus but also allow for numerous reconstructive options. Tenolysis, tendon grafting, and local tissue reconstruction are all options that can be used to treat complex extensor tendon injuries, but the type of repair is dependent on which of the eight extensor zones and accompanying structures are injured. To adequately assess and treat these injuries, a working knowledge of the anatomy, reconstructive techniques, and rehabilitation is imperative.

From the Department of Orthopaedics, Vanderbilt University Medical Center, Nashville, TN.

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Desai, Dr. Wanner, Dr. Lee, and Dr. Gauger.

© 2019 by American Academy of Orthopaedic Surgeons
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