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

Megumi Fujita
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Takuji Iwamoto
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Taku Suzuki
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Noboru Matsumura
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Kazuki Sato
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Masaya Nakamura
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
,
Morio Matsumoto
1   Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
› Author Affiliations

Funding None.
Further Information

Publication History

Received: 26 October 2018

Accepted after revision: 19 February 2019

Publication Date:
02 June 2019 (online)

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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.