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Lori Randall
Date of registration
28. 07. 2022
Messages: 2
Case presentation
47 yo male Presentation: 1 week after injury Injury mechanism: snap in left wrist during the work-out Complaints: no extension in left thumb IP joint, soreness and swelling over dorsal radial wrist Diagnosis: Left extensor pollicis longus (EPL) rupture Surgery: Left extensor indicis proprius (EIP) to extensor pollicis longus transfer (EPL) Question: what type of weave and suture would you use?
Date of registration:
28.07.2022
Messages: 2
6 months ago
Date of registration:
28.07.2022
Messages: 2
6 months ago
Nicholas Bayer
I’m using tendon weaver, normally with 3 Pulvertaft weaves and loop sutures 4-0 for this level. A 4-strand core suture technique: one locked distally, second proximally and a running suture from distal to proximal and vice versa
Date of registration:
28.07.2022
Messages: 2
6 months ago
Lori Randall
Thanks! How about post-op management for this technique?
Date of registration:
28.07.2022
Messages: 2
6 months ago
Nicholas Bayer
Thumb spica splint post-op. At 2 weeks- brace + active gentle ROM exercises. At 6 weeks- brace only for night time (for 2 more weeks)