Modalities for prevention of adhesion formation after tendon surgery: a review of the literature

Abstract

Creation of adhesions in digital flexor tendons after repairing remains a major problem in hand surgery. The adhesions are part of the healing process and produce almost inevitably functional disability following the biological response after tendon injury. To achieve better gliding function of the digital tendons by reducing peritendinous adhesions without adversely affecting the healing process itself, several options, both surgical and pharmacological have been explored. Attempts at reducing postoperative adhesion formation have included early postoperative rehabilitation, low-friction surgical repair techniques, pharmacological antiadhesive reagents, and the use of physical barriers to adhesion formation.

Level of Evidence: Not ratable.

http://ift.tt/2pRXYY0