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Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients

Twenty-three patients with a mean age of 52.7 years underwent pulley reconstruction using the Okutsu double- or triple-loop technique after iatrogenic or traumatic rupture of at least two adjacent flexor tendon pulleys in the finger and distal palm; mean age of injury was 4.77 years. The mean follow...

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Autores principales: Oeckenpöhler, Simon, Langer, Martin Franz, Aitzetmüller-Klietz, Matthias Michael, Aitzetmüller-Klietz, Marie-Luise, Nottberg, Valerie, Riesenbeck, Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419726/
https://www.ncbi.nlm.nih.gov/pubmed/37568556
http://dx.doi.org/10.3390/jcm12155154
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author Oeckenpöhler, Simon
Langer, Martin Franz
Aitzetmüller-Klietz, Matthias Michael
Aitzetmüller-Klietz, Marie-Luise
Nottberg, Valerie
Riesenbeck, Oliver
author_facet Oeckenpöhler, Simon
Langer, Martin Franz
Aitzetmüller-Klietz, Matthias Michael
Aitzetmüller-Klietz, Marie-Luise
Nottberg, Valerie
Riesenbeck, Oliver
author_sort Oeckenpöhler, Simon
collection PubMed
description Twenty-three patients with a mean age of 52.7 years underwent pulley reconstruction using the Okutsu double- or triple-loop technique after iatrogenic or traumatic rupture of at least two adjacent flexor tendon pulleys in the finger and distal palm; mean age of injury was 4.77 years. The mean follow-up was 4.66 years after reconstruction of mostly A2 pulleys in a single surgeon setting. Outcome measures included ROM, NRS pain, satisfaction, Disabilities of Arm, Shoulder and Hand Questionnaire (DASH) and Krimmer score, Buck–Gramcko score, Jamar grip strength, pinch grip, and vigorimetry compared to the uninjured side. The median patient satisfaction score was 6.6/10. Hand function using the DASH score was 9.5. Grip strength on the Jamar Dynamometer showed only a slight reduction of 13% compared to the uninjured side. The resultant force of the operated fingers on the vigorimeter is almost 60% of that of the contralateral side, and the finger-palm distance of the operated finger was reduced from 2.2 cm to 1.45 cm. Other functional scores, such as Krimmer (82.2) and Buck-Gramcko (10.9), support these good results. The follow-up of patients more than 4.5 years after reconstruction of the A2 and A3 flexor tendon pulley using the double- or triple-loop technique showed acceptable patient satisfaction and good function of the finger in everyday life.
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spelling pubmed-104197262023-08-12 Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients Oeckenpöhler, Simon Langer, Martin Franz Aitzetmüller-Klietz, Matthias Michael Aitzetmüller-Klietz, Marie-Luise Nottberg, Valerie Riesenbeck, Oliver J Clin Med Article Twenty-three patients with a mean age of 52.7 years underwent pulley reconstruction using the Okutsu double- or triple-loop technique after iatrogenic or traumatic rupture of at least two adjacent flexor tendon pulleys in the finger and distal palm; mean age of injury was 4.77 years. The mean follow-up was 4.66 years after reconstruction of mostly A2 pulleys in a single surgeon setting. Outcome measures included ROM, NRS pain, satisfaction, Disabilities of Arm, Shoulder and Hand Questionnaire (DASH) and Krimmer score, Buck–Gramcko score, Jamar grip strength, pinch grip, and vigorimetry compared to the uninjured side. The median patient satisfaction score was 6.6/10. Hand function using the DASH score was 9.5. Grip strength on the Jamar Dynamometer showed only a slight reduction of 13% compared to the uninjured side. The resultant force of the operated fingers on the vigorimeter is almost 60% of that of the contralateral side, and the finger-palm distance of the operated finger was reduced from 2.2 cm to 1.45 cm. Other functional scores, such as Krimmer (82.2) and Buck-Gramcko (10.9), support these good results. The follow-up of patients more than 4.5 years after reconstruction of the A2 and A3 flexor tendon pulley using the double- or triple-loop technique showed acceptable patient satisfaction and good function of the finger in everyday life. MDPI 2023-08-07 /pmc/articles/PMC10419726/ /pubmed/37568556 http://dx.doi.org/10.3390/jcm12155154 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Oeckenpöhler, Simon
Langer, Martin Franz
Aitzetmüller-Klietz, Matthias Michael
Aitzetmüller-Klietz, Marie-Luise
Nottberg, Valerie
Riesenbeck, Oliver
Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title_full Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title_fullStr Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title_full_unstemmed Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title_short Three-Loop Technique for Pulley Reconstruction—A Retrospective Cohort Analysis of 23 Patients
title_sort three-loop technique for pulley reconstruction—a retrospective cohort analysis of 23 patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419726/
https://www.ncbi.nlm.nih.gov/pubmed/37568556
http://dx.doi.org/10.3390/jcm12155154
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