loss other profundus in a 16 year old
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girl this girl had multiple flexor
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tendon injuries and she we're planning a
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stage reconstruction so you can see
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we've marked out a brunner type approach
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incisions made through the scan with
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care not to enter the neurovascular
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bundles at the peaks of the incision one
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flap will be elevated carefully just
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above the flexor tendon sheath
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in this situation she has lost or her
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fondest attendance to this hand and due
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to the paucity of material to
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reconstruct her we will take this from
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zone 1 to zone 3 instead of typically
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going to zone 5
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she does have intact superficialis
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tendon is demonstrated
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but without intact / fundus tendon we
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are freeing up or a for pulley in
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preparation to place a four millimeter
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hunter rod
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you
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we're removing the lacerated and scarred
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profundas tendon and preparing the
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distal phalanx to accept underneath a
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five pulling the hunter on she did have
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a small element of profundas tendon that
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we could use to fix the tendon tandem
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with was measured four millimeters
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the hunter on was in passed from distal
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to proximal underneath a 584 892 police
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Oh
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the disc land was in a fixed using name
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oral at the bond writing that suture to
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the this was stomp of the fungus tendon
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the law was in check for free excursion
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and as you can see she had very supple
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joint motion the existing profundus was
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then kept out the length tacking it to
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the hunter rod in the side-to-side
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fashion using four - suture
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men are always in place into the palm in
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zone three and the excess profundus
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Sutton that had been removed in the
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fingers in the breeding is closing and
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civil sutures of four Oh
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Milberg fill on nylon
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push-off rehabilitation has begun almost
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immediately to begin to regain her joint
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emotion