Disclosure Anatomic Study : None Lindsay Stone MD Case Example - - PowerPoint PPT Presentation

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Jul 03, 2023 604 likes •669 views

Disclosure Anatomic Study : None Lindsay Stone MD Case Example Using Pontis Device : Inventor/Owner Joshua A Gordon MD Leonard Gordon MD Finger Incisions Bruner Incision - 1967 excellent exposure of all structures wide

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Lindsay Stone MD Joshua A Gordon MD Leonard Gordon MD

Disclosure Anatomic Study : None Case Example Using Pontis Device : Inventor/Owner

Finger Incisions Bruner Incision - 1967 excellent exposure of all structures easy wide dissection/swelling/bleeding in the finger

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surface anatomy of the pulleys and tendons structures in the palm and fingers

Where would best incisions

r portals be

????

smaller incisions with less dissection may reduce swelling, bleeding and friction (Tang et al) Palm and finger creases as surface markers caliper - 1 - measure the location of A1 to A5 2 - location of flexor anatomy all the skin was removed - 2mm

f each crease was retained

48 fingers in 12 cadaver hands methylene blue used to mark each skin crease

A = B

4 zones each zone divided into thirds Surface Anatomy of flexor system

zone B C D A

location for safe incisions FDS and FDP decussation Camper pulleys

A-2 A-4 C1 C3 A-1 A-3 A-5

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3 months

17 lbs 55 deg

Repair through small T/V incision

3 - Need a method to pass the tendon through pulleys 1 - Do the repair with less exposure Small or minimal incisions 2 - Knowledge of underlying anatomy

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