Document Detail


Purulent flexor tenosynovitis: factors influencing the functional outcome.
MedLine Citation:
PMID:  18562357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study aimed to evaluate the factors that influence the final outcome of treatment of purulent flexor tenosynovitis, viz. delay in treatment, severity of the condition, the infecting pathogen and the method of treatment. Of 41 patients with this condition treated by drainage and irrigation through two small incisions (16) and wide incision (25), 16 were treated after a delay. Continuous postoperative irrigation was applied in 26 patients. Re-operation was necessary in 11 patients. In most cases, Staphylococcus aureus was detected. The results were excellent in 32 cases and the mean Disabilities of the Arm, Shoulder and Hand score was 8.1. Irrigation through small incisions and continuous postoperative irrigation decreased the probability of an unfavourable outcome. Delayed treatment and infections with specific pathogens led to a worse outcome. Early diagnosis of purulent flexor tenosynovitis followed by drainage through small incisions and continuous postoperative irrigation appear, from this retrospective review, to lead to the best functional outcome.
Authors:
Z H Dailiana; N Rigopoulos; S Varitimidis; M Hantes; K Bargiotas; K N Malizos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  33     ISSN:  1753-1934     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-19     Completed Date:  2008-12-23     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  280-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, School of Health Sciences, University of Thessalia, Larissa, Greece. dailiana@med.uth.gr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Drainage
Female
Fingers* / surgery
Hand Injuries / complications,  microbiology
Humans
Irrigation
Male
Methicillin-Resistant Staphylococcus aureus
Middle Aged
Postoperative Care
Reoperation
Staphylococcal Infections / surgery*
Suppuration
Tenosynovitis / microbiology,  surgery*
Treatment Outcome
Wound Infection / microbiology
Young Adult
Comments/Corrections
Comment In:
J Hand Surg Eur Vol. 2009 Jun;34(3):412-3; author reply 413   [PMID:  19457921 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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