Abstract
Although various techniques exist for pulley reconstruction, none are useful for all patients. We performed flexor pulley reconstruction using a transverse carpal ligament which has the advantages of a useful gliding surface, sufficient width and thickness, anatomical similarity to the pulley, and adequate durability. Cosmetically, all the surgical scars are on the volar side while functionally, we can avoid invasion to both the flexion and extension sides.
Similar content being viewed by others
References
Bulic K, Fuchs N (2017) Flexor pulley reconstruction using a palmar fascia strip: a case report. J Hand Surg Eur 42(9):965–966
Tang JB, Zhang QG, Ishii S (1993) Autogenous free sheath grafts in reconstruction of injured digital flexor tendon sheath at the delayed primary stage. J Hand Surg Br 18(1):31–32
Demirtas Y, Sariguney Y, Findikcioglu F, Ayhan S, Latifoglu O (2004) Cadaveric fascia temporalis graft for pulley reconstruction. Plast Reconstr Surg 114(4):1021–1022
Lister GD (1979) Reconstruction of pulleys employing extensor retinaculum. J Hand Surg Am 4(5):461–464
Widstrom CJ, Johnson G, Doyle JR, Manske PR, Inhofe P (1989) A mechanical study of six digital pulley reconstruction techniques: part I. Mechanical effectiveness. J Hand Surg Am 14(5):821–825
Nishida J, Amadio PC, Bettinger PC, An KN (1998) Flexor tendon-pulley interaction after pulley reconstruction: a biomechanical study in a human model in vitro. J Hand Surg Am 23(4):665–672
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
No ethical approval was necessary for this case report.
Patient consent
Informed consent for publication was obtained from the patient in the case report.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Oshima, J., Sasaki, K. & Sekido, M. Flexor pulley reconstruction using a transverse carpal ligament: a case report. Eur J Plast Surg 42, 395–398 (2019). https://doi.org/10.1007/s00238-019-01513-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-019-01513-1