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  • Title
  • 1. Introduction and Surgical Approach
  • 2. Incision and Exposure of Tendons
  • 3. FPL Tendon Lengthening
  • 4. Proximal Division of Superficialis Tendons
  • 5. Distal Division of Profundus Tendons and Pulvertaft Repair
  • 6. Review and Inspection
  • 7. Closure
  • 8. Marking for Adductor Release and Z-Plasty
  • 9. Z-Incision and Exposure
  • 10. Adductor Pollicis Release
  • 11. First Dorsal Interosseous Release
  • 12. Z-Plasty
  • 13. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Flexor Digitorum Superficialis to Flexor Digitorum Profundus (STP) Transfer, Adductor Release, and Z-Plasty for a Pediatric, Stroke-Induced Left Hand Spastic Contracture

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Sudhir B. Rao, MD1; Mark N. Perlmutter, MS, MD, FICS, FAANOS2; Arya S. Rao3
1Big Rapids Orthopaedics
2Carolina Regional Orthopaedics
3Undergraduate Student, Deparment of Biological Sciences, Columbia University

OrthopaedicsPediatric SurgeryGlobal SurgeryMultidisciplinary Surgery

Manuscript Format: Case Overview

Procedure Outline

Table of Contents

  1. 1. Introduction and Surgical Approach
    1. 2. Incision and Exposure of Tendons
      1. 3. FPL Tendon Lengthening
        1. 4. Proximal Division of Superficialis Tendons
          1. 5. Distal Division of Profundus Tendons and Pulvertaft Repair
            1. 6. Review and Inspection
              1. 7. Closure
                1. 8. Marking for Adductor Release and Z-Plasty
                  1. 9. Z-Incision and Exposure
                    1. 10. Adductor Pollicis Release
                      1. 11. First Dorsal Interosseous Release
                        1. 12. Z-Plasty
                          1. 13. Post-op Remarks

                            1. Introduction and Surgical Approach

                            2. Incision and Exposure of Tendons

                            3. FPL Tendon Lengthening

                            1. Split and Divide FPL Tendon
                            2. Side-to-Side Repair of Lengthened FPL Tendon

                            4. Proximal Division of Superficialis Tendons

                            5. Distal Division of Profundus Tendons and Pulvertaft Repair

                            6. Review and Inspection

                            7. Closure

                            8. Marking for Adductor Release and Z-Plasty

                            9. Z-Incision and Exposure

                            10. Adductor Pollicis Release

                            11. First Dorsal Interosseous Release

                            12. Z-Plasty

                            13. Post-op Remarks

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                            Authors

                            Filmed At:

                            Hospital Leonardo Martinez, Honduras

                            Article Information

                            Publication Date
                            Article ID290.10
                            Production ID0290.10
                            Volume2024
                            Issue290.10
                            DOI
                            https://doi.org/10.24296/jomi/290.10