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Loh et al. FPL repair

We tested our repair on table by flexing and extending
the thumb IPJ five times, and ensured tendon gliding
and excursion was not compromised. The thumb
was splinted with a dorsal blocking splint in slight IPJ
flexion. If on table tendon rupture or inadequate tendon
excursion and gliding occurs despite the techniques
performed above, a two-stage tendon reconstruction
is then indicated.

DECLARATIONS

Authors’ contributions
Manuscript preparation: C.Y.Y. Loh, A. Tan
Manuscript review: M. Tare

Financial support and sponsorship
None.

Conflicts of interest
There are no conflicts of interest.

Patient consent
Obtained.

Ethics approval
Not required.

Figure 1: Schematic diagram illustrating the tips and tricks used for
getting more out a primary FPL tendon repair. FPL: flexor pollicis REFERENCES
longus
1. Bassett CA, Carroll RE. Formation of a tendon sheath by silicone-rod
implants. J Bone Joint Surg Am 1963;45:884-5.
prolene suture. A running epitendinous repair with 4/0 2. Le Viet D. Flexor tendon lengthening by tenotomy at the
prolene was performed. musculotendinous junction. Ann Plast Surg 1986;17:239-46.

136 Plastic and Aesthetic Research ¦ Volume 4 ¦ August 25, 2017