Abstract
Purpose: Flexor pulley reconstruction is a challenging surgery. Regardless of the reconstructive technique used, the surgeon should make every effort to imitate the length, tension and glide of the normal pulley. We describe in the present study a new method for pulley reconstruction in using a split tendon graft. Patients and methods: Twelve adult patients had A2 and/or A4 pulley reconstruction using split-tendon during application of tendon rod as a first stage tendon reconstruction. This was followed by application of an autogenous tendon graft in a second stage 12 weeks from the first stage. Patients were followed for 6 months after the second stage. Results: All patients recovered a satisfactory range of motion with an average finger to palm distance of 16 mm. Conclusion: The described technique is versatile and provides an autogenous thin graft that is free of donor site morbidity with excellent tendon gliding.
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