Two-stage reconstruction with the modified Paneva-Holevich technique.

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Authors
O'Shea, Kieran
Wolfe, Scott W
Affiliation
Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA
Issue Date
2013-05
Keywords
SURGERY
Local subject classification
SURGERY, ORTHOPAEDIC
MeSH
Anastomosis, Surgical
Finger Injuries
Hand Injuries
Humans
Postoperative Complications
Prostheses and Implants
Reconstructive Surgical Procedures
Splints
Suture Techniques
Tendon Injuries

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Citation
O'Shea K, Wolfe SW. Two-stage reconstruction with the modified Paneva-Holevich technique. Hand Clin. 2013, 29 (2):223-33
Journal
Hand clinics
URI
http://hdl.handle.net/10147/324624
DOI
10.1016/j.hcl.2013.02.011
PubMed ID
23660058
Additional Links
http://www.sciencedirect.com/science/article/pii/S0749071213000127
Abstract
Flexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.
Item Type
Article
Language
en
ISSN
1558-1969
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