Case ReportNo Access

Use of Triceps Tendon and Paratenon Composite Graft for Extensor Tendon Reconstruction in the Hand: A Case Report

Ryutaro SHIBATA

Trauma and Microsurgery Center, Toyohashi Municipal Hospital, Toyohashi, Japan

Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

Search for more papers by this author

Shinsuke TAKEDA

Trauma and Microsurgery Center, Toyohashi Municipal Hospital, Toyohashi, Japan

Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

E-mail Address: s7.takeda.jpn@gmail.com

Correspondence to: Shinsuke Takeda, Trauma and Microsurgery Center, Toyohashi Municipal Hospital, 50 Aza Hachiken Nishi, Aotake-Cho, Toyohashi, Aichi 441-8570, Japan. Tel: +81-532-33-6111, Fax: +81-532-33-6177.

Search for more papers by this author

Ken-ichi YAMAUCHI

Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

Search for more papers by this author

, and

Hitoshi HIRATA

Department of Hand Surgery, Nagoya University Hospital, Nagoya, Japan

Search for more papers by this author

https://doi.org/10.1142/S2424835522720493Cited by:1 (Source: Crossref)

Abstract

An extensor tendon defect in the hand requires reconstruction to restore extension. We report a 44-year-old woman with a 24-mm extensor tendon defect of the middle finger over the dorsum of the hand that was reconstructed using a composite graft consisting of the triceps tendon and paratenon. This composite graft from the posterior aspect of the distal arm is simple, safe and may be considered in extensor tendon reconstruction.

Level of Evidence: Level V (Therapeutic)

Keywords:

REFERENCES

1. Schöffl V, Heid A, Küpper T. Tendon injuries of the hand. World J Orthop. 2012;3(6):62. https://doi.org/10.5312/WJO.V3.I6.62. Crossref, Google Scholar
2. Brody O’Sullivan M, Singh H, Wolf JM. Tendon transfers in the rheumatoid hand for reconstruction. Hand Clin. 2016;32(3);407–416. https://doi.org/10.1016/j.hcl.2016.03.014. Crossref, Google Scholar
3. Hirth MJ, Bennett K, Mah E, et al.. Early return to work and improved range of motion with modified relative motion splinting: A retrospective comparison with immobilization splinting for zones V and VI extensor tendon repairs. Hand Ther. 2011;16(4):86–94. https://doi.org/10.1258/HT.2011.011012. Crossref, Google Scholar
4. Smith RJ. Extensor carpi radialis brevis tendon transfer for thumb adduction—A study of power pinch. J Hand Surg Am. 1983;8(1):4–15. https://doi.org/10.1016/S0363-5023(83)80044-6. Crossref, Google Scholar
5. Hayashi A, Komoto M, Tanaka R, et al.. The availability of perifascial areolar tissue graft for deep cutaneous ulcer coverage. J Plast Reconstr Aesthet Surg. 2015;68(12):1743–1749. https://doi.org/10.1016/J.BJPS.2015.08.008. Crossref, Google Scholar
6. Takeda S, Yoneda H, Mitsuya S, Kurahashi S, Hirata H. The ipsilateral distal upper arm can be useful in harvesting the nonvascularized perifascial areolar tissue for hand injuries. J Plast Reconstr Aesthet Surg. 2022;75(3):1261–1282. https://doi.org/10.1016/J.BJPS.2021.11.108. Crossref, Google Scholar
7. Kamisasanuki T, Katori N, Kasai K, et al.. Adhesiotomy with grafting of fat and perifascial areolar tissue for adhesions of extraocular muscles after trauma or surgery. Graefes Arch Clin Exp Ophthalmol. 2014;252(5):829–836. https://doi.org/10.1007/S00417-014-2606-6. Crossref, Google Scholar
8. Schoch C, Dittrich M, Seilern und Aspang J, Geyer M, Geyer S. Autologous triceps tendon graft for LUCL reconstruction of the elbow: Clinical outcome after 7.5 years. Eur J Orthop Surg Traumatol. 2022;32(6):1111–1118. https://doi.org/10.1007/S00590-021-03081-2. Crossref, Google Scholar
9. Keener JD, Chafik D, Kim HM, Galatz LM, Yamaguchi K. Insertional anatomy of the triceps brachii tendon. J Shoulder Elbow Surg. 2010;19(3):399–405. https://doi.org/10.1016/j.jse.2009.10.008. Crossref, Google Scholar