Download PDF
J Reconstr Microsurg 2006; 22(1): 037-040
DOI: 10.1055/s-2006-931905
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Single-Stage Reconstruction of the Flexor Mechanism of the Fingers with a Free Vascularized Tendon Flap: Case Report

Pedro C. Cavadas1 , Xavier Mir2
  • 1Division of Reconstructive and Hand Surgery, Centro de Rehabilitación de Levante, Valencia, Spain
  • 2Division of Hand Surgery Hospital Universitario de Traumatología Vall d'Hebrón e Institut Universitari Dexeus, Barcelona, Spain
Further Information

Publication History

Accepted: September 20, 2005

Publication Date:
19 January 2006 (online)

    Permissions and Reprints

ABSTRACT

The reconstruction of the flexor tendon in zones I and II of a ring finger in a single stage, using a free vascularized tendon graft, is reported in a single clinical case. The flexor digitorum superficialis (FDS) tendon of the same finger was freely transferred based on a vascular branch off the ulnar vessels. The ulnar artery was reconstructed with an end-to-end anastomosis, and the free flap was connected to the superficial palmar arch. The functional result was satisfactory.

KEYWORDS

Vascularized tendon graft - free flap - flexor tendon reconstruction

REFERENCES

  • 1 Strickland J W. Flexor tendon surgery. Part 2: Free tendon grafts and tenolysis.  J Hand Surg Br. 1989;  14 368-382
    CrossrefPubMedGoogle Scholar
  • 2 Guimberteau J C, Panconi B, Boileau R. Mesovascularized island flexor tendon: new concepts and techniques for flexor tendon salvage surgery.  Plast Reconstr Surg. 1993;  92 888-903
    PubMedGoogle Scholar
  • 3 Moriyama M. Vascularized tendon grafting in the rabbit.  J Reconstr Microsurg. 1992;  8 83-91
    PubMedGoogle Scholar
  • 4 Singer D I, Morrison W A, Gumley G J et al.. Comparative study of vascularized and nonvascularized tendon grafts for reconstruction of flexor tendons in zone 2: an experimental study in primates.  J Hand Surg Am. 1989;  14 55-63
    CrossrefPubMedGoogle Scholar
  • 5 Adani R, Marcoccio I, Tarallo L. Flap coverage of dorsum of hand associated with extensor tendons injuries: a completely vascularized single-stage reconstruction.  Microsurgery. 2003;  23 32-39
    CrossrefPubMedGoogle Scholar
  • 6 Smith P J, Ross D A. Tubed radial fascial flap and reconstruction of the flexor apparatus in the forearm.  J Hand Surg Am. 1993;  18 959-962
    CrossrefPubMedGoogle Scholar
  • 7 McCabe S J, Breidenbach W C. The role of emergency free flaps for hand trauma.  Hand Clin. 1999;  15 275-288
    PubMedGoogle Scholar
  • 8 Guimberteau J C, Panconi B, Boileau R. Simple and composite ulnar transplants in reconstructive surgery of the hand. [in French].  Ann Chir Plast Esthet. 1994;  39 301-317
    PubMedGoogle Scholar
  • 9 Haerle M, Häfner H M, Dietz K, Schaller H E, Brunelli F. Vascular dominance in the forearm.  Plast Reconstr Surg. 2003;  111 1891-1898
    CrossrefPubMedGoogle Scholar
  • 10 Hess A V. Treatment of vascular injuries from penetrating and nonpenetrating trauma.  Hand Clin. 1999;  15 249-259
    PubMedGoogle Scholar

Pedro C CavadasM.D. Ph.D. 

Temple 5, 2, 46003 Valencia, Spain

      >