Türk El ve Üst Ekstremite Cerrahisi Derneği
Türk El ve Üst Ekstremite Cerrahisi Derneği

Online First

Original Article   Open Access

Local infiltration anesthesia in tenolysis surgery

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun.

Abstract
Objectives: Adhesions around the flexor tendons block tendon gliding. The most common problem in secondary surgery is inadequate and ineffective tenolysis. Local anesthesia facilitates patient comfort and early active mobilization, which is very important after tenolysis surgery and even surgery without tourniquet. This study presents a tenolysis series managed with local anesthesia.
Methods: We performed 22 tenolysis surgeries for zone 1 and zone 2 tendon adhesions under local infiltration anesthesia. If active flexion was achieved due to unblocked motor function, we removed the screen between the surgery area and patient to allow the patient to view their own movement.
Results: There was 1 relapse. However, the results of the remaining patients were good or excellent.
Discussion: This anesthesia technique enables comfortable surgery without tourniquet, unblocked motor function, and less postoperative pain. Preserving motor function is crucial for evaluating the adequacy of tenolysis intraoperatively. We recommend local infiltration anesthesia for suitable patients undergoing tenolysis.

Key words: Anesthesia, local anesthesia, tendon surgery, tenolysis

 

ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this article How to cite this article
Export to
Export to
Related Records
  Articles by Gokce Yildiran
Articles by Osman Akdag
Articles by Mehtap Karamese
Articles by Zekeriya Tosun

on Google
on Google Scholar
Article Statistics
  Viewed: 252
Downloaded: 62
Cited: 0

How to Cite this Article
Pubmed Style

Yildiran G, Akdag O, Karamese M, Tosun Z. Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919


Web Style

Yildiran G, Akdag O, Karamese M, Tosun Z. Local infiltration anesthesia in tenolysis surgery. www.scopemed.org/?mno=233919 [Access: June 23, 2017]. doi:10.5455/handmicrosurg.233919


AMA (American Medical Association) Style

Yildiran G, Akdag O, Karamese M, Tosun Z. Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919


Vancouver/ICMJE Style

Yildiran G, Akdag O, Karamese M, Tosun Z. Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919


Harvard Style

Yildiran, G., Akdag, O., Karamese, M. & Tosun, Z. (2017) Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919


Turabian Style

Yildiran, Gokce, Osman Akdag, Mehtap Karamese, and Zekeriya Tosun. 2017. Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919


Chicago Style

Yildiran, Gokce, Osman Akdag, Mehtap Karamese, and Zekeriya Tosun. “Local infiltration anesthesia in tenolysis surgery.” doi:10.5455/handmicrosurg.233919


MLA (The Modern Language Association) Style

Yildiran, Gokce, Osman Akdag, Mehtap Karamese, and Zekeriya Tosun. “Local infiltration anesthesia in tenolysis surgery.” doi:10.5455/handmicrosurg.233919


APA (American Psychological Association) Style

Yildiran, G., Akdag, O., Karamese, M. & Tosun, Z. (2017) Local infiltration anesthesia in tenolysis surgery. doi:10.5455/handmicrosurg.233919