Online ISSN: 2515-8260

Keywords : Tendon Sheath Substitute


Effectiveness of Using Venous Graft as a Tendon Sheath Substitute in Repair of Flexor Tendon Injuries of the Hand

Melad Gamal Fahmy; Mohammed Salah Awad; Mohammed Ali Mostafa; Emad Salah Ibrahim

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 732-740

Background: The main goal of flexor tendon surgery is to restore digital motion by providing
tendon healing and preserving tendon gliding. The formation of peritendinous adhesions around
the repair site is one of several adverse events that may prevent achievement of this goal Flexor
tendon injuries occur frequently, adhesions between the tendon and its sheath are the most
common complication after tendon repair. The using of venous graft as a tendon sheath
substitute following tendon repair is a new technique for managing tendon injury that may
improve the result of existing method [1, 2].
Methods: In this study twelve patients were seen within 6 months in Plastic Surgery Unit,
Surgery Department, Zagazig University Hospital, and El-Ahrar Teaching Hospital in Zagazig.
However, no patient escaped or was excluded from the study. Those 12 patients were selected
among the cases of hand trauma coming to the hospital with Pure Flexor tendon injuries to
assess our study without affecting other injures ( orthopedic, vascular and nerve injures).
Results: All patients were assessed using the total active motion (TAM) scoring Final
assessment after a follow-up period of 6 months revealed excellent range of movement in two
cases, good range of movement in 10 cases and good result in 2 cases.
Conclusion: the use of autologous vein graft as a replacement of tendon sheath has many
advantages like; it is not expensive, being autologous so not carrying the risk of infection,
also it will not affect the tendon healing like other materials. It also improves tendon
nourishment.