Verdan classified injuries to the flexor tendons based on the anatomical location
of transaction. Following repair, a number of management strategies have been developed
to maximize the gliding amplitude of the tendons. Nonetheless, despite optimal management,
complications arise. If these complications remain untreated, secondary pathomechanical
changes will result in a kinematic chain disturbance. An appropriate treatment protocol
includes attention to maintenance of integrity of the flexor tendon repair, while
avoiding secondary complications due to reduced gliding amplitude. A biomechanical
analysis of the dynamics of tendon gliding following repair in the various Verdan
zones will be discussed in the context of common complications. This analysis may
help in devising an appropriate therapeutic approach to avoid secondary complications
following flexor tendon repair.
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Publication history
Short Description: Despite optimal management, complications often develop following flexor tendon repair. If left untreated, secondary pathomechanical complications may arise which can lead to a kinematic chain disturbance. A biomechanical analysis of these secondary changes occurring in various Verdan zones will be discussed. In addition, appropriate therapeutic approaches will be devised in order to avoid these complications.
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© 2006 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
