PubMed · 14249797
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L BARINKA. 1964. [PRIMARY TENDON REPLACEMENT].. https://pubmed.ncbi.nlm.nih.gov/14249797/
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This retrospective study evaluates a dynamic active motion protocol for extensor tendon repairs in zones V to VII. Fifty-eight patients with 87 extensor tendon injuries were examined. Using Geldmacher's and Kleinert and Verdan's evaluation systems, the results were graded as "excellent" and "good" in more than 94%, and as "satisfactory" in the remainder. The need for secondary tenolysis was low (6%), and no other surgical complication occurred.
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The art and science of medicine are called into action at a high level when one evaluates and treats the impaired hand of a skilled musician. A surgeon who is conscientious and understanding of the patient and the patient's needs and who is capable of assessing correctly the anatomic and physiologic pathology is most likely to make the proper decision in advising for or against a surgical component of the overall treatment plan.