Clin Orthop Surg.  2015 Sep;7(3):275-281. 10.4055/cios.2015.7.3.275.

Wide-Awake Primary Flexor Tendon Repair, Tenolysis, and Tendon Transfer

Affiliations
  • 1Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, China. jinbotang@yahoo.com

Abstract

Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly repaired before leaving the operating table. I applied this method to primary flexor tendon repair in zone 1 or 2, tenolysis, and tendon transfer, and found this approach makes tendon surgery easier and more reliable. This article describes the method that I have used for tendon surgery.

Keyword

Tendon; Surgical repair; Anesthesia; Rehabilitation

MeSH Terms

Anesthetics, Local/administration & dosage/therapeutic use
Epinephrine/administration & dosage/therapeutic use
Humans
Range of Motion, Articular
Suture Techniques
*Tendon Injuries/rehabilitation/surgery
Tendon Transfer/*methods
Tendons/*surgery
Vasoconstrictor Agents/administration & dosage/therapeutic use
Anesthetics, Local
Epinephrine
Vasoconstrictor Agents
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