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A-0193 Functional Assessment and Clinical Outcomes After Combined Flexor and Extensor Tenolysis (FALCON) – A Retrospective Chart Review
Emma Avery, Robert Strazar, Avinash Islur, St. Boniface Hospital, Winnipeg, CA, USA
Thursday, June 14, 2018 · 9:56 a.m. · 04m 53s
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00:00:01
um no
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when everyone my name is a very um i'm presenting research that's connected in conjunction with
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rubber strays are unhappy is learn when okay our primary interest in
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pursuing the study was to demonstrate that combine those are dorsal
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or billy's come down with no complications and good functional outcomes
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and we have no conflicts or disclosures um to declare
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oh so t. y. says a surgical procedure doesn't formant patients will pour into
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motion of the fingers to use under the flex surrender sensor tendons
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well tender these procedures can greatly improve a hand function key lexus remains a difficult and controversial procedure
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oh that is not on how many associate that visiting post operative complications emperor bereavement in um control of cans
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most uh have the richard suggested to license should be before the tuesday procedure um uh
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however there's always or support this and on very small sample sizes and you know common c.
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about a strong rationale for a well planned and executed singles the procedure
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features are we have gender one a recovery from a single surgery which means less time doing post op of rehab
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and if your product uh productively losses for those unable to work during recovery
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for study we focus on the functional clinical outcomes of combine tendon release procedure
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specifically we measured the total improvement and has an actor bridge
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emotion and assess the answers the post operative complications
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our study was designed as a single centre retrospective show view
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and the data was collected it was a combination of operate notes peppy impose a basis
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jen as well as we have thirty assessments we screen all patients underwent combine flex
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or intense sixty laces between twenty um ten and twenty sixteen as impartial possible
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for study we spiritual twenty seven patients one patient was
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excluded do so criteria leaving twenty six p. participants
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for most twenty six we have a combined devices before going thirty a total digits
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the mean age per patient population was fifty five years with forty percent a particular being female and we
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equal distribution answers of the left and right hand with whether patients receiving surgery on the dominant yeah
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the lord has already appears or study had to release before the third and
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fourth digit although we did see some reason all digits including one um
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and regarding uh the preserved all indications for to realise
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our patients presented with engine uh he's a secondary traumatic injury um he's in these included
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feelings fractures question juries saunders boundaries walls dislocations so the functional outcomes of our study
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uh with this table shows the median and p. r. but it imposed opted active ranger motion
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are cheaper patient and and and c. p. p. l. p. d. a. p. joints
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and we can't be the overall change in activity motion from pretty posting laces at each joint
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and as you can see our patients as cheap seems to dislike significant improvements interact a range of motion in all joint
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with the meeting overall improvement inflection um by forty degrees
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regarding has of into motion we did see modern improvements and the results versus of statistical significance
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everybody goes up with complications most common complications we saw other
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patients prepares easier and porridge emotional required for the reconstruction
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uh and we also so low rates of c. r. p. s. u. tom of hong swelling
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um and tendon rapture and of all time with the meeting of all time was five point three months
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we also want to know how our city compared with um literature
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and so what we wanted for a in for free impurity
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analysis the hasn't was kind of hard to do so um however uh just leave the raw data you can see that
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r. rated tendon rapture are similar if not far superior to um the literature and keeping in mind that
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our study is a combined or double the release whereas the majority the studies that we didn't says that with your only
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i'm single flight surgeon laces and that was just the limitations of what we could find leverage in the literature
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so in conclusion um me have propose this is like process
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first single stage combined flex or centre to license
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um the advantages of this is that the single stage operations they discussed earlier
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um it is can be done is the way procedure um and
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we should we demonstrated um minimal to low rates of complications
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and take your attention and have a
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technique hands how the only questions
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