Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience
Background/Purpose: This is a local retrospective review on the outcomes of tenolysis after phalangeal fracture. Methods: The clinical outcome of nine patients (mean age 51.9 years) with finger fractures and subsequent tenolysis performed were reviewed. Range of motion was evaluated. Results: Extens...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/22104917231166720 |
| _version_ | 1827583037968220160 |
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| author | Yan Yu Ruby Wong Angela Wing-Hang Ho Sheung Tung Ho |
| author_facet | Yan Yu Ruby Wong Angela Wing-Hang Ho Sheung Tung Ho |
| author_sort | Yan Yu Ruby Wong |
| collection | DOAJ |
| description | Background/Purpose: This is a local retrospective review on the outcomes of tenolysis after phalangeal fracture. Methods: The clinical outcome of nine patients (mean age 51.9 years) with finger fractures and subsequent tenolysis performed were reviewed. Range of motion was evaluated. Results: Extensor tenolysis, capsulotomy with or without flexor tenolysis was performed at a mean of 8.2 months after hand fracture with fracture fixation done. The total active motion (TAM) improved from 121° preoperatively to 173° postoperatively ( p = 0.02). Significant improvement of motion was observed at the proximal interphalangeal joint ( p = 0.012). All patient's range of motion improved after surgery. Conclusion: The gain of motion of 52° is comparable to other series. Release of all pathological anatomy and aggressive mobilization may improve the result further. Tenolysis can provide an encouraging improvement of active motion for stiff finger after phalangeal fractures. Recent results using WALANT technique showed satisfactory outcome. Future study on WALANT technique may further consolidate its potential benefit. |
| first_indexed | 2024-03-08T23:00:09Z |
| format | Article |
| id | doaj.art-10696994a02c477bbb10ed643eb7882d |
| institution | Directory Open Access Journal |
| issn | 2210-4925 |
| language | English |
| last_indexed | 2024-03-08T23:00:09Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-10696994a02c477bbb10ed643eb7882d2023-12-15T21:05:10ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252023-12-013010.1177/22104917231166720Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experienceYan Yu Ruby WongAngela Wing-Hang HoSheung Tung HoBackground/Purpose: This is a local retrospective review on the outcomes of tenolysis after phalangeal fracture. Methods: The clinical outcome of nine patients (mean age 51.9 years) with finger fractures and subsequent tenolysis performed were reviewed. Range of motion was evaluated. Results: Extensor tenolysis, capsulotomy with or without flexor tenolysis was performed at a mean of 8.2 months after hand fracture with fracture fixation done. The total active motion (TAM) improved from 121° preoperatively to 173° postoperatively ( p = 0.02). Significant improvement of motion was observed at the proximal interphalangeal joint ( p = 0.012). All patient's range of motion improved after surgery. Conclusion: The gain of motion of 52° is comparable to other series. Release of all pathological anatomy and aggressive mobilization may improve the result further. Tenolysis can provide an encouraging improvement of active motion for stiff finger after phalangeal fractures. Recent results using WALANT technique showed satisfactory outcome. Future study on WALANT technique may further consolidate its potential benefit.https://doi.org/10.1177/22104917231166720 |
| spellingShingle | Yan Yu Ruby Wong Angela Wing-Hang Ho Sheung Tung Ho Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience |
| title_full | Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience |
| title_fullStr | Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience |
| title_full_unstemmed | Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience |
| title_short | Retrospective review on tenolysis after phalangeal fractures: A Hong Kong local center experience |
| title_sort | retrospective review on tenolysis after phalangeal fractures a hong kong local center experience |
| url | https://doi.org/10.1177/22104917231166720 |
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