Case presentation

Lori Randall

Date of registration
28. 07. 2022

Messages: 2

1 month ago

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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?

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Nicholas Bayer
Date of registration:
28.07.2022
Messages: 2

1 month ago

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

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Lori Randall
Date of registration:
28.07.2022
Messages: 2

1 month 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

Thanks! How about post-op management for this technique?

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Nicholas Bayer
Date of registration:
28.07.2022
Messages: 2

1 month ago

Lori Randall

Thanks! How about post-op management for this technique?

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)

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Lori Randall
Date of registration:
28.07.2022
Messages: 2

1 month 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)

I was considering this loop-tendon suture technique by Kim SH et al (J Hand Surg Am. 2007 Mar:32(3)). Authors suggest immediate passive motion exercises with intermittent protection by a splint. Anyone who tried it?

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