Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis
Summary:. Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the hand’s flexor tendon sheath that necessitates timely diagnosis and treatment. The treatment consists of antibiotic therapy often combined with prompt surgical t...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006451 |
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| author | Lucas Kreutz-Rodrigues, MD Mehmet Furkan Tunaboylu, MD Steven L. Moran, MD |
| author_facet | Lucas Kreutz-Rodrigues, MD Mehmet Furkan Tunaboylu, MD Steven L. Moran, MD |
| author_sort | Lucas Kreutz-Rodrigues, MD |
| collection | DOAJ |
| description | Summary:. Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the hand’s flexor tendon sheath that necessitates timely diagnosis and treatment. The treatment consists of antibiotic therapy often combined with prompt surgical treatment. The most common surgical approach is the closed irrigation technique, which involves inserting a 16-gauge angiocatheter in the proximal aspect of the flexor tendon sheath, leaving the distal end of the Brunner incision open during the irrigation process. However, this method has its own challenges, such as catheter bending and kinking, thereby obstructing the fluid irrigation process and prolonging the operative duration. Instead, we propose the use of a rigid plastic facial fat grafting cannula, which is coupled to a 50-mL syringe with 0.9% saline solution. The cannula is placed at the level of the A1 pulley, and irrigation is easily performed. This simplifies this process by maintaining adequate fluid outflow through the flexor tendon sheath. |
| format | Article |
| id | doaj-art-1ed0ccb0a08e4978b8a8804d375f4d12 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-1ed0ccb0a08e4978b8a8804d375f4d122025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e645110.1097/GOX.0000000000006451202501000-00023Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor TenosynovitisLucas Kreutz-Rodrigues, MD0Mehmet Furkan Tunaboylu, MD1Steven L. Moran, MD2From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.Summary:. Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the hand’s flexor tendon sheath that necessitates timely diagnosis and treatment. The treatment consists of antibiotic therapy often combined with prompt surgical treatment. The most common surgical approach is the closed irrigation technique, which involves inserting a 16-gauge angiocatheter in the proximal aspect of the flexor tendon sheath, leaving the distal end of the Brunner incision open during the irrigation process. However, this method has its own challenges, such as catheter bending and kinking, thereby obstructing the fluid irrigation process and prolonging the operative duration. Instead, we propose the use of a rigid plastic facial fat grafting cannula, which is coupled to a 50-mL syringe with 0.9% saline solution. The cannula is placed at the level of the A1 pulley, and irrigation is easily performed. This simplifies this process by maintaining adequate fluid outflow through the flexor tendon sheath.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006451 |
| spellingShingle | Lucas Kreutz-Rodrigues, MD Mehmet Furkan Tunaboylu, MD Steven L. Moran, MD Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis Plastic and Reconstructive Surgery, Global Open |
| title | Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis |
| title_full | Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis |
| title_fullStr | Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis |
| title_full_unstemmed | Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis |
| title_short | Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis |
| title_sort | facial fat grafting cannula a tool to facilitate closed irrigation in flexor tenosynovitis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006451 |
| work_keys_str_mv | AT lucaskreutzrodriguesmd facialfatgraftingcannulaatooltofacilitateclosedirrigationinflexortenosynovitis AT mehmetfurkantunaboylumd facialfatgraftingcannulaatooltofacilitateclosedirrigationinflexortenosynovitis AT stevenlmoranmd facialfatgraftingcannulaatooltofacilitateclosedirrigationinflexortenosynovitis |