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CC BY-NC-ND 4.0 · Indian J Plast Surg 2006; 39(01): 94-102
DOI: 10.1055/s-0039-1699134
CME
Association of Plastic Surgeons of India

Ischaemic contracture of the hand

G. Balakrishnan
Right Hospitals, Kilpauk, Chennai - 600 010, Formerly Professor and Head, Institute for Research and Rehabilitation of Hand and Department of Plastic Surgery, Stanley Medical College and Govt. Stanley Hospital, Chennai - 600 001
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Publication Date:
15 January 2020 (online)

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ABSTRACT

Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed looped sutures (supramid). This is not available in many countries and we describe a technique whereby looped sutures can be introduced in flexor tendon repair by the use of 23 G hypodermic needle and conventional 4.0 or 5.0 sutures. This is an alternative when the custom made preformed sutures are not available. This can be practiced in zone 3 to zone 5 repairs. Technical difficulties limit its use in zone 2 repairs.

 
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