METHOD FOR APPLYING TENDON SUTURES ON FINGER FLEXORS

摘要

FIELD: medicine.;SUBSTANCE: both ends of the tendon are inside the shaft in the transversal direction; the ends are closed together and fixed. At 1.5 cm from a damaged proximal end of the tendon, the first interrupted suture is applied. For this purpose, one needle is used to underrun the tendon at 1/3 of its cross section; 3-5 knots are pulled up and fixed. Each needle is delivered inside the shaft in an upper one-third of a proximal end of the tendon towards its damaged end and brought out on the opposite side, and a similar interrupted suture is applied at 0.5 cm from the first interrupted suture. Each needle is pricked in behind or in front of the second knot and pricked out in the centre of the section of the proximal end of the damaged tendon. The needles are pricked in the centre of the section of the distal end of the damaged tendon and brought out in an upper one-third of its cross section, matched by a double knot and fixed by 2-3 knots; that is followed by applying a 4-knot suture similar to the second interrupted suture on the proximal end of the damaged tendon.;EFFECT: complete functional recovery of the damaged finger.;1 ex, 3 dwg