An Alternate Graft for Staged Flexor Tendon Reconstruction

Low, Nelson C. K.; Fahy, Eamonn T; Frisken, J.; Mann, N.

doi:10.1007/s11552-013-9589-3

Cited by 7 publications

(1 citation statement)

References 5 publications

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“…Similarly, Hidajat et al had to modify the planned surgical technique in a patient with DRUJ instability due to a short and anomalous PL muscle [10]. Furthermore, Low et al planned a two-stage tendon reconstruction for the 3rd and 4th finger Zone 2 FDS incision and had to postpone the operation when the thickness of the harvested PLT was 2 mm [12]. Preoperative awareness of the PLT length and thickness is critical when selecting it for a graft, as it can prevent complications and uxexpected problems during surgery.…”

Section: Introductionmentioning

confidence: 99%

Prediction Of Palmaris Longus Tendon Length And Thickness Through Simple Anthropometric Measurements

Kilic,

Kose,

Egerci

et al. 2024

Handchir Mikrochir Plast Chir

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Objective This study aimed to test whether palmaris longus tendon (PLT) length and thickness can be predicted from simple anthropometric measurements. Materials and methods 120 healthy volunteers with bilateral PL muscles were enrolled in this prospective study. PLT length and thickness were measured by ultrasonographic examination. Anthropometric measurements included body height, weight, forearm length, and wrist circumference. Correlation, linear regression, and Bland-Altman plot were used for analysis. Results The mean PLT length and thickness were 10.8±1.4 cm and 4.0±0.9 mm, respectively. Body height and PLT length had a moderate positive correlation (r:0.407, p:0.001), and forearm length and PLT thickness had a weak positive correlation (r:0.229, p:0.001). The regression analysis showed that body height was the best predictor for PLT length, and forearm length was the best predictor for PLT thickness. The regression equations were as follows: PLT length=0.276+(0.062×height) (r2=0.165, p<0.001) and PLT thickness=1.373+(0.108×forearm length) (r2=0.052, p<0.001). The predicted PLT lengths and thicknesses were calculated using these regression formulas and compared with the actual thicknesses and lengths using the Bland-Altman plot. The upper and lower limits of agreement (95% CI) ranged from -2.54 cm to 2.51 cm for actual PLT length and predicted PLT length and from -1.76 mm to 1.74 mm for actual PLT thickness and predicted PLT thickness in the Bland-Altman plot with a weak agreement and proportional bias. Conclusions These findings indicate that height and forearm length have limited accuracy in predicting PLT length and thickness. The preoperative ultrasonographic examination can provide valuable assistance, particularly in cases that require grafts with precise length and thickness requirements.

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Section: Introductionmentioning

confidence: 99%