| Purulent flexor tenosynovitis: factors influencing the functional outcome. | |
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MedLine Citation:
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PMID: 18562357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Z H Dailiana; N Rigopoulos; S Varitimidis; M Hantes; K Bargiotas; K N Malizos |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hand surgery, European volume Volume: 33 ISSN: 1753-1934 ISO Abbreviation: - Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-19 Completed Date: 2008-12-23 Revised Date: 2009-05-21 |
Medline Journal Info:
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Nlm Unique ID: 101315820 Medline TA: J Hand Surg Eur Vol Country: England |
Other Details:
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Languages: eng Pagination: 280-5 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, School of Health Sciences, University of Thessalia, Larissa, Greece. dailiana@med.uth.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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J Hand Surg Eur Vol. 2009 Jun;34(3):412-3; author reply 413
[PMID:
19457921
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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