Principles of Tendon Reconstruction Following Complex Trauma of the Upper Limb

Arhana Chattopadhyay; Rory McGoldrick; Elise Umansky; James Chang

doi:10.1055/s-0035-1544168

Seminars in Plastic Surgery, Inhaltsverzeichnis

Semin Plast Surg 2015; 29(01): 030-039
DOI: 10.1055/s-0035-1544168

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Principles of Tendon Reconstruction Following Complex Trauma of the Upper Limb

Arhana Chattopadhyay

¹Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, California

²Division of Plastic and Reconstructive Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, California

,

Rory McGoldrick

¹Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, California

²Division of Plastic and Reconstructive Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, California

,

Elise Umansky

¹Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, California

²Division of Plastic and Reconstructive Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, California

,

James Chang

¹Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, California

²Division of Plastic and Reconstructive Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, California

› Institutsangaben

Abstract

Reconstruction of tendons following complex trauma to the upper limb presents unique clinical and research challenges. In this article, the authors review the principles guiding preoperative assessment, surgical reconstruction, and postoperative rehabilitation and management of the upper extremity. Tissue engineering approaches to address tissue shortages for tendon reconstruction are also discussed.

Keywords

hand surgery - staged reconstruction - complex trauma - tissue engineering

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Referenzen

References
1 Nance ML , Ed. National Trauma Data Bank Annual Report 2013. Chicago, IL: American College of Surgeons; 2013
2 Bueno Jr RA, Neumeister MW. Outcomes after mutilating hand injuries: review of the literature and recommendations for assessment. Hand Clin 2003; 19 (1) 193-204
3 Stevanovic M, Gutow AP, Sharpe F. The management of bone defects of the forearm after trauma. Hand Clin 1999; 15 (2) 299-318
4 Beyer CW, Dick WF. Johann Friedrich August von Esmarch—a pioneer in the field of emergency and disaster medicine. Resuscitation 2001; 50 (2) 131-133
5 Zhang AY, Chang J. Tissue engineering of flexor tendons. Clin Plast Surg 2003; 30 (4) 565-572
6 Potenza AD. Critical evaluation of flexor-tendon healing and adhesion formation within artificial digital sheath. J Bone Joint Surg Am 1963; 45: 1217-1233
7 Taras JS, Gray RM, Culp RW. Complications of flexor tendon injuries. Hand Clin 1994; 10 (1) 93-109
8 Lister G. Pitfalls and complications of flexor tendon surgery. Hand Clin 1985; 1 (1) 133-146
9 Seiler III JG, Chu CR, Amiel D, Woo SL, Gelberman RH. The Marshall R. Urist Young Investigator Award. Autogenous flexor tendon grafts. Biologic mechanisms for incorporation. Clin Orthop Relat Res 1997; (345) 239-247
10 Peacock Jr EE. Biological principles in the healing of long tendons. Surg Clin North Am 1965; 45: 461-476
11 Lieberman JR, Lozman J, Czajka J, Dougherty J. Repair of Achilles tendon ruptures with Dacron vascular graft. Clin Orthop Relat Res 1988; (234) 204-208
12 Holtz M, Midenberg ML, Kirschenbaum SE. Utilization of a silastic sheet in tendon repair of the foot. J Foot Surg 1982; 21 (4) 253-259
13 Xie RG, Tang JB. Allograft tendon for second-stage tendon reconstruction. Hand Clin 2012; 28 (4) 503-509
14 Johansen K, Daines M, Howey T, Helfet D, Hansen Jr ST. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma 1990; 30 (5) 568-572 , discussion 572–573
15 Sloan JP, Dove AF, Maheson M, Cope AN, Welsh KR. Antibiotics in open fractures of the distal phalanx?. J Hand Surg [Br] 1987; 12 (1) 123-124
16 Fitzgerald Jr RH, Cooney III WP, Washington II JA, Van Scoy RE, Linscheid RL, Dobyns JH. Bacterial colonization of mutilating hand injuries and its treatment. J Hand Surg Am 1977; 2 (2) 85-89
17 Covey DC. Blast and fragment injuries of the musculoskeletal system. J Bone Joint Surg Am 2002; 84-A (7) 1221-1234
18 Okike K, Bhattacharyya T. Trends in the management of open fractures. A critical analysis. J Bone Joint Surg Am 2006; 88 (12) 2739-2748
19 Tintle SM, Baechler MF, Nanos III GP, Forsberg JA, Potter BK. Traumatic and trauma-related amputations: Part II: Upper extremity and future directions. J Bone Joint Surg Am 2010; 92 (18) 2934-2945
20 Dirschl DR, Dahners LE. The mangled extremity: when should it be amputated?. J Am Acad Orthop Surg 1996; 4 (4) 182-190
21 Howe Jr HR, Poole Jr GV, Hansen KJ , et al. Salvage of lower extremities following combined orthopedic and vascular trauma. A predictive salvage index. Am Surg 1987; 53 (4) 205-208
22 Russell WL, Sailors DM, Whittle TB, Fisher Jr DF, Burns RP. Limb salvage versus traumatic amputation. A decision based on a seven-part predictive index. Ann Surg 1991; 213 (5) 473-480 , discussion 480–481
23 McNamara MG, Heckman JD, Corley FG. Severe open fractures of the lower extremity: a retrospective evaluation of the Mangled Extremity Severity Score (MESS). J Orthop Trauma 1994; 8 (2) 81-87
24 Lange RH, Bach AW, Hansen Jr ST, Johansen KH. Open tibial fractures with associated vascular injuries: prognosis for limb salvage. J Trauma 1985; 25 (3) 203-208
25 Slauterbeck JR, Britton C, Moneim MS, Clevenger FW. Mangled extremity severity score: an accurate guide to treatment of the severely injured upper extremity. J Orthop Trauma 1994; 8 (4) 282-285
26 Wei FC, Loftus JB. Metacarpal hand: a classification as a guide to reconstruction. Abstract presented at: The Annual Meeting of the American Association for Hand Surgery; December 1–4, 1993; Cancun, Mexico
27 Reid DAC, Tubiana R. Mutilating Injuries of the Hand. Edinburgh, Scotland: Churchill Livingstone; 1984
28 Weinzweig J, Weinzweig N. The “Tic-Tac-Toe” classification system for mutilating injuries of the hand. Plast Reconstr Surg 1997; 100 (5) 1200-1211
29 Durham RM, Mistry BM, Mazuski JE, Shapiro M, Jacobs D. Outcome and utility of scoring systems in the management of the mangled extremity. Am J Surg 1996; 172 (5) 569-573 , discussion 573–574
30 Tintle SM, Keeling JJ, Shawen SB, Forsberg JA, Potter BK. Traumatic and trauma-related amputations: part I: general principles and lower-extremity amputations. J Bone Joint Surg Am 2010; 92 (17) 2852-2868
31 Neumeister MW, Brown RE. Mutilating hand injuries: principles and management. Hand Clin 2003; 19 (1) 1-15 , v
32 Gupta A, Shatford RA, Wolff TW, Tsai TM, Scheker LR, Levin LS. Treatment of the severely injured upper extremity. Instr Course Lect 2000; 49: 377-396
33 Yaremchuk MJ, Brumback RJ, Manson PN, Burgess AR, Poka A, Weiland AJ. Acute and definitive management of traumatic osteocutaneous defects of the lower extremity. Plast Reconstr Surg 1987; 80 (1) 1-14
34 Hayton M. Assessment of hand injuries. Curr Orthop 2002; 16: 246-254
35 Lehfeldt M, Ray E, Sherman R. MOC-PS(SM) CME article: treatment of flexor tendon laceration. Plast Reconstr Surg 2008; 121 (4, Suppl): 1-12
36 Momeni A, Grauel E, Chang J. Complications after flexor tendon injuries. Hand Clin 2010; 26 (2) 179-189
37 Griffin M, Hindocha S, Jordan D, Saleh M, Khan W. An overview of the management of flexor tendon injuries. Open Orthop J 2012; 6 (Suppl. 01) 28-35
38 Tang JB. Tendon injuries across the world: treatment. Injury 2006; 37 (11) 1036-1042
39 Bora Jr FW. Profundus tendon grafting with unimpaired sublimus function in children. Clin Orthop Relat Res 1970; 71 (71) 118-123
40 Coyle Jr MP, Leddy TP, Leddy JP. Staged flexor tendon reconstruction fingertip to palm. J Hand Surg Am 2002; 27 (4) 581-585
41 Freilich AM, Chhabra AB. Secondary flexor tendon reconstruction, a review. J Hand Surg Am 2007; 32 (9) 1436-1442
42 Goldfarb CA, Gelberman RH, Boyer MI. Flexor tendon reconstruction: current concepts and techniques. J Am Soc Surg Hand 2005; 5 (2) 123-130
43 Leddy JP, Packer JW. Avulsion of the profundus tendon insertion in athletes. J Hand Surg Am 1977; 2 (1) 66-69
44 Forward AD, Cowan RJ ; AD; Clinical Congress XI. Experimental suture of tendon to bone. Surg Forum 1960; 11: 458-460
45 Kerwein GA. A study of tendon implantations into bone. Surg Gynecol Obstet 1942; 75: 794-796
46 Kinmonth JB. The cut flexor tendon: experiences with free grafts and steel wire fixation. Br J Surg 1947; 35 (137) 29-36
47 Weiner D, Hoffman S, Barsky AJ. Improved method for distal attachment of flexor tendon grafts. Modification of Stenström technique. Plast Reconstr Surg 1968; 41 (1) 71-74
48 Wilson RL. Flexor tendon grafting. Hand Clin 1985; 1 (1) 97-107
49 Clark TA, Skeete K, Amadio PC. Flexor tendon pulley reconstruction. J Hand Surg [Br] 2010; 35A: 1685-1689
50 Barton NJ. Experimental study of optimal location of flexor tendon pulleys. Plast Reconstr Surg 1969; 43 (2) 125-129
51 Hunter JM, Salisbury RE. Flexor-tendon reconstruction in severely damaged hands. A two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting. J Bone Joint Surg Am 1971; 53 (5) 829-858
52 Bassett CAL, Carroll RE. Formation of tendon sheaths by silicone rod implants. Proceedings of American Society for Surgery of the Hand. J Bone Joint Surg Am 1963; (45) 884
53 Leddy J, Dennis T. Tendon injuries. In: Strickland J, Rettig A, , eds. Hand Injuries in Athletes. Philadelphia: WB Saunders; 1992: 175-207
54 Lundborg G, Rank F. Experimental studies on cellular mechanisms involved in healing of animal and human flexor tendon in synovial environment. Hand 1980; 12 (1) 3-11
55 Pribaz JJ, Morrison WA, Macleod AM. Primary repair of flexor tendons in no-man's land using the Becker repair. J Hand Surg [Br] 1989; 14 (4) 400-405
56 Verdan CE. Half a century of flexor-tendon surgery. Current status and changing philosophies. J Bone Joint Surg Am 1972; 54 (3) 472-491
57 Feldscher SB, Schneider LH. Flexor tenolysis. Hand Surg 2002; 7 (1) 61-74
58 Watson HK, Shaffer SR. Concave-convex arthrodeses in joints of the hand. Plast Reconstr Surg 1970; 46 (4) 368-371
59 Carroll RE, Hill NA. Small joint arthrodesis in hand reconstruction. J Bone Joint Surg Am 1969; 51 (6) 1219-1221
60 Tubiana R. Arthrodesis of the fingers. In: Tubiana R, , ed. The Hand. 2^nd ed. Philadelphia: WB Saunders; 1985: 698-702
61 Urbaniak JR, Hayes MG. Chronic boutonniere deformity—an anatomic reconstruction. J Hand Surg Am 1981; 6 (4) 379-383
62 Paneva-Holevich E. Two-stage tenoplasty in injury of the flexor tendons of the hand. J Bone Joint Surg Am 1969; 51 (1) 21-32
63 Beris AE, Darlis NA, Korompilias AV, Vekris MD, Mitsionis GI, Soucacos PN. Two-stage flexor tendon reconstruction in zone II using a silicone rod and a pedicled intrasynovial graft. J Hand Surg Am 2003; 28 (4) 652-660
64 Guimberteau JC, Bakhach J, Panconi B, Rouzaud S. A fresh look at vascularized flexor tendon transfers: concept, technical aspects and results. J Plast Reconstr Aesthet Surg 2007; 60 (7) 793-810
65 Payatakes AH, Zagoreos NP, Fedorcik GG, Ruch DS, Levin LS. Current practice of microsurgery by members of the American Society for Surgery of the Hand. J Hand Surg Am 2007; 32 (4) 541-547
66 Grunert BK, Smith CJ, Devine CA , et al. Early psychological aspects of severe hand injury. J Hand Surg [Br] 1988; 13 (2) 177-180
67 Duran RJ, Houser RG. Controlled passive motion following flexor tendon repairs in zones 2 and 3. In: American Academy of Orthopaedic Surgeons Symposium on Tendon Surgery in the Hand. St. Louis, MO: CV Mosby; 1975
68 Kleinert HE, Kutz JE, Atasoy E, Stormo A. Primary repair of flexor tendons. Orthop Clin North Am 1973; 4 (4) 865-876
69 Small JO, Brennen MD, Colville J. Early active mobilisation following flexor tendon repair in zone 2. J Hand Surg [Br] 1989; 14 (4) 383-391
70 Rust PA, Eckersley R. Twenty questions on tendon injuries in the hand. Curr Orthop 2008; 22: 17-24
71 Yokoya S, Mochizuki Y, Natsu K, Omae H, Nagata Y, Ochi M. Rotator cuff regeneration using a bioabsorbable material with bone marrow-derived mesenchymal stem cells in a rabbit model. Am J Sports Med 2012; 40 (6) 1259-1268
72 Manning CN, Schwartz AG, Liu W , et al. Controlled delivery of mesenchymal stem cells and growth factors using a nanofiber scaffold for tendon repair. Acta Biomater 2013; 9 (6) 6905-6914
73 Vaquette C, Slimani S, Kahn CJ, Tran N, Rahouadj R, Wang X. A poly(lactic-co-glycolic acid) knitted scaffold for tendon tissue engineering: an in vitro and in vivo study. J Biomater Sci Polym Ed 2010; 21 (13) 1737-1760
74 Young RG, Butler DL, Weber W, Caplan AI, Gordon SL, Fink DJ. Use of mesenchymal stem cells in a collagen matrix for Achilles tendon repair. J Orthop Res 1998; 16 (4) 406-413
75 Caliari SR, Ramirez MA, Harley BA. The development of collagen-GAG scaffold-membrane composites for tendon tissue engineering. Biomaterials 2011; 32 (34) 8990-8998
76 Murphy KD, Mushkudiani IA, Kao D, Levesque AY, Hawkins HK, Gould LJ. Successful incorporation of tissue-engineered porcine small-intestinal submucosa as substitute flexor tendon graft is mediated by elevated TGF-beta1 expression in the rabbit. J Hand Surg Am 2008; 33 (7) 1168-1178
77 Abousleiman RI, Reyes Y, McFetridge P, Sikavitsas V. Tendon tissue engineering using cell-seeded umbilical veins cultured in a mechanical stimulator. Tissue Eng Part A 2009; 15 (4) 787-795
78 Raghavan SS, Woon CY, Kraus A , et al. Human flexor tendon tissue engineering: decellularization of human flexor tendons reduces immunogenicity in vivo. Tissue Eng Part A 2012; a; 18 (7-8) 796-805
79 Woon CY, Pridgen BC, Kraus A, Bari S, Pham H, Chang J. Optimization of human tendon tissue engineering: peracetic acid oxidation for enhanced reseeding of acellularized intrasynovial tendon. Plast Reconstr Surg 2011; 127 (3) 1107-1117
80 Uysal CA, Tobita M, Hyakusoku H, Mizuno H. Adipose-derived stem cells enhance primary tendon repair: biomechanical and immunohistochemical evaluation. J Plast Reconstr Aesthet Surg 2012; 65 (12) 1712-1719
81 Raghavan SS, Woon CY, Kraus A, Megerle K, Pham H, Chang J. Optimization of human tendon tissue engineering: synergistic effects of growth factors for use in tendon scaffold repopulation. Plast Reconstr Surg 2012; b; 129 (2) 479-489
82 Katzel EB, Wolenski M, Loiselle AE , et al. Impact of Smad3 loss of function on scarring and adhesion formation during tendon healing. J Orthop Res 2011; 29 (5) 684-693
83 Branford OA, Klass BR, Grobbelaar AO, Rolfe KJ. The growth factors involved in flexor tendon repair and adhesion formation. J Hand Surg Eur Vol 2014; 39 (1) 60-70
84 Genin GM, Kent A, Birman V , et al. Functional grading of mineral and collagen in the attachment of tendon to bone. Biophys J 2009; 97 (4) 976-985
85 Thomopoulos S, Williams GR, Gimbel JA, Favata M, Soslowsky LJ. Variation of biomechanical, structural, and compositional properties along the tendon to bone insertion site. J Orthop Res 2003; 21 (3) 413-419
86 Thomopoulos S, Marquez JP, Weinberger B, Birman V, Genin GM. Collagen fiber orientation at the tendon to bone insertion and its influence on stress concentrations. J Biomech 2006; 39 (10) 1842-1851
87 Thomopoulos S, Genin GM, Galatz LM. The development and morphogenesis of the tendon-to-bone insertion - what development can teach us about healing -. J Musculoskelet Neuronal Interact 2010; b; 10 (1) 35-45
88 Silva MJ, Thomopoulos S, Kusano N , et al. Early healing of flexor tendon insertion site injuries: Tunnel repair is mechanically and histologically inferior to surface repair in a canine model. J Orthop Res 2006; 24 (5) 990-1000
89 Bronstein JA, Woon CY, Farnebo S , et al. Physicochemical decellularization of composite flexor tendon-bone interface grafts. Plast Reconstr Surg 2013; 132 (1) 94-102
90 Fox PM, Farnebo S, Lindsey D, Chang J, Schmitt T, Chang J. Decellularized human tendon-bone grafts for composite flexor tendon reconstruction: a cadaveric model of initial mechanical properties. J Hand Surg Am 2013; 38 (12) 2323-2328