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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Section of 2nd to 5th flexor tendons in zone 2 of the hand with interdigital nerve injury: case report

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  • presenting/speaker Julio Echazabal - Clinica Fusat, Hospital De Rengo, Santiago, Chile
  • Mario Andres Humeres Rios - Hospital del Salvador, Universidad De Santiago De Chile, Hospital de Rengo, Santiago, Chile
  • Soledad Sanchez - Hospital de Rengo, Santiago, Chile

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1507

doi: 10.3205/19ifssh0238, urn:nbn:de:0183-19ifssh02384

Published: February 6, 2020

© 2020 Echazabal et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objectives/Interrogation: Want to present the experience in restructuring medicine and advanced microsurgery, in a new center of traumatology and orthopedics

Methods: Case of male patient, 32 years old. without morbidities suffers cut with kitchen knife in zone 2 of flexor in hand, with interdigital nerve involvement from the 2nd to 5th finger of the right hand. Surgical wound dressing in the emergency room. It is performed 24 hours after the accident, definitive surgery, with primary tenorrhaphy with double kessler points. Under magnifying glasses and microscope Identification of interdigital nerve ends, primary epineurorrhaphy without tension is performed. Passive intraoperative passive mobility verification.

Closing of wounds and temporary immobilization for protection of surgery.

Patient was sent home 24 hours after surgery. Temporary immobilization in situ, 2 weeks later, withdrawal of points. Is sent to therapy, for controlled early mobilization. Follow-up and therapy for 6 months. Progress is reintegrated into common life and work progressively. Full reintegration at 7 months.

Results and Conclusions: The performance of reconstructive medicine and microsurgery in highly complex wounds is challenging. Especially in areas where you do not have the necessary supplies for the correct execution. That is why we recommend the timely resolution of highly complex pathologies as long as you have the correct technology and instruments. We believe that a good planning should always be carried out, correct follow-up of the advice based on evidence on nerve and tendon repair, only with them is it possible to obtain good results. Always thinking about the best for the patient and the total recovery of functionality.