Reparación primaria de los flexores en la zona II. Actualización y técnica quirúrgica

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Violeta D. Levy

Resumen

La reparación primaria de los tendones flexores en la zona II ha sido un desafío desde el surgimiento de la cirugía de la mano como especialidad luego de la Segunda Guerra Mundial. Desde Bunnell hasta hoy, la forma de operar y rehabilitar estos tendones ha evolucionado y cambiado considerablemente gracias a estudios anatómicos, biológicos y, sobre todo, mecánicos. Actualmente la técnica quirúrgica se basa en realizar una sutura fuerte y prolija, que no sufra fricción dentro de la vaina y que tolere la carga necesaria para la movilidad activa del dígito sin resistencia. Se han descrito múltiples configuraciones de puntos con diferentes materiales. Operando con anestesia local, la prueba de flexo-extensión activa intraoperatoria revela la resistencia del tipo de sutura elegida y ha cobrado importancia para definir el protocolo de rehabilitación. El tratamiento de los flexores en la zona II es, hasta el momento, un conjunto inseparable de técnica quirúrgica y rehabilitación asociada. La manipulación farmacológica del proceso biológico reparador es el principal campo de investigación actual.

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Cómo citar
Levy, V. D. (2021). Reparación primaria de los flexores en la zona II. Actualización y técnica quirúrgica. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(5), 681-695. https://doi.org/10.15417/issn.1852-7434.2021.86.5.1356
Sección
Instrucción Ortopédica de Posgrado
Biografía del autor/a

Violeta D. Levy, Sección Cirugía de Mano y Miembro Superior, Servicio de Ortopedia y Traumatología, Hospital Español de Buenos Aires, Argentina

Sección Cirugía de Mano y Miembro Superior, Servicio de Ortopedia y Traumatología, Hospital Español de Buenos Aires, Argentina

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