The Upper Hand: Chuck & Chris Talk Hand Surgery

Flexor Tendon Avulsion

Jul 14, 2024

In this podcast, Chuck and Chris discuss FDP tendon avulsions, repair options, and whether the FDP should always be repaired in the presence of an intact FDS. They talk about using Carroll Tendon Pulling Forceps and Tendon Weavers for surgery, post-operative therapy, and the challenges of balancing quantity and quality in surgical scheduling.

40:33

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Quick takeaways

Repairing FDP without intact FDS requires extensive therapy and yields subpar outcomes.

Utilizing anchors and specific suture techniques improve postoperative results for FDP avulsions.

Deep dives

Clinic Experiences and Surgical Metrics

Discussing clinic experiences, the importance of surgical metrics like new patient visits to surgery bookings, and the challenge of booking nerve cases on the same day.

Intro

2min

Discussion on Surgical Scheduling Hit Rates and Managing Nerve Cases

4min

Surgeries and Grant Writing Challenges

2min

Grant Writing and Flexor Tendon Avulsion in Hand Surgery

10min

Therapy Recommendation and Webinar Promotion

2min

Surgical Techniques for Flexor Tendon Avulsion Injuries

17min

Post-operative Therapy Protocols and Bony Repair Techniques

3min

Chuck and Chris have a good discussion on FDP tendon avulsions and repair options. We discuss whether the FDP should always be repaired in the setting of an intact FDS (a great deal of therapy is required and results are rarely excellent) and we discuss how we each repair the FDP. We also reference a few items:

1) Carroll Tendon Pulling Forceps (this allows easy passage through tendon sheath)
2) Tendon weaver (passer). Sharp instrument used for tendon weaves with tendon transfer surgery

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See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology.

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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.

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The Upper Hand: Chuck & Chris Talk Hand Surgery

Flexor Tendon Avulsion

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Clinic Experiences and Surgical Metrics

Grant Writing and Funding

Non-Operative Approach for Jersey Finger

Surgical Techniques and Post-Op Care

Remember Everything You Learn from Podcasts