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Hand Clin. 2013 May;29(2):223-33. doi: 10.1016/j.hcl.2013.02.011. Epub 2013 Apr 6.

Two-stage reconstruction with the modified Paneva-Holevich technique.

Author information

1
Department of Orthopaedic Surgery, St Vincents University Hospital, Elm Park, Dublin 4, Ireland.

Abstract

Flexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.

PMID:
23660058
DOI:
10.1016/j.hcl.2013.02.011
[Indexed for MEDLINE]

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