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Original Article
Online Published: 26 Nov 2016
 


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


 
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How to Cite this Article
Pubmed Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Local infiltration anesthesia in tenolysis surgery. Hand Microsurg. 2017; 6(2): 58-61. doi:10.5455/handmicrosurg.233919

Web Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Local infiltration anesthesia in tenolysis surgery. https://handmicrosurgeryjournal.com/?mno=233919 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.233919

AMA (American Medical Association) Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Local infiltration anesthesia in tenolysis surgery. Hand Microsurg. 2017; 6(2): 58-61. doi:10.5455/handmicrosurg.233919


Vancouver/ICMJE Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Local infiltration anesthesia in tenolysis surgery. Hand Microsurg. (2017), [cited September 12, 2024]; 6(2): 58-61. doi:10.5455/handmicrosurg.233919


Harvard Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun (2017) Local infiltration anesthesia in tenolysis surgery. Hand Microsurg, 6 (2), 58-61. doi:10.5455/handmicrosurg.233919


Turabian Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. 2017. Local infiltration anesthesia in tenolysis surgery. Hand and Microsurgery, 6 (2), 58-61. doi:10.5455/handmicrosurg.233919


Chicago Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. "Local infiltration anesthesia in tenolysis surgery." Hand and Microsurgery 6 (2017), 58-61. doi:10.5455/handmicrosurg.233919


MLA (The Modern Language Association) Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. "Local infiltration anesthesia in tenolysis surgery." Hand and Microsurgery 6.2 (2017), 58-61. Print. doi:10.5455/handmicrosurg.233919


APA (American Psychological Association) Style

Gokce Yildiran, Osman Akdag, Mehtap Karamese, Zekeriya Tosun (2017) Local infiltration anesthesia in tenolysis surgery. Hand and Microsurgery, 6 (2), 58-61. doi:10.5455/handmicrosurg.233919




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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