Continuous Catheter Irrigation for the Treatment of Purulent Tenosynovitis during Two-Stage Flexor Tendon Reconstruction

Megumi Fujita; Takuji Iwamoto; Taku Suzuki; Noboru Matsumura; Kazuki Sato; Masaya Nakamura; Morio Matsumoto

doi:10.1055/s-0039-1688510

Journal of Hand and Microsurgery, Table of Contents

J Hand Microsurg 2019; 11(03): 170-174
DOI: 10.1055/s-0039-1688510

Case Report

Society of Indian Hand & Microsurgeons

Continuous Catheter Irrigation for the Treatment of Purulent Tenosynovitis during Two-Stage Flexor Tendon Reconstruction

Authors

Megumi Fujita

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Takuji Iwamoto

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Taku Suzuki

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Noboru Matsumura

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Kazuki Sato

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Masaya Nakamura

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
Morio Matsumoto

¹Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan

Abstract

Two-stage flexor tendon reconstruction with a silicone rod is useful for restoring the tendon and tendon sheath but sometimes results in infection after the first-stage operation. We experienced a case in which we maintained the reconstructed tendon sheath by replacing an infected silicone rod with a polyvinyl chloride tube, followed by continuous catheter irrigation until the infection subsided. This procedure can effectively deal with infection of a silicone rod during two-stage flexor tendon reconstruction.

Keywords

two-stage flexor tendon reconstruction - purulent tenosynovitis - continuous catheter irrigation

Full Text

References

References
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