Tendon Healing and Repair: Sean T.Grambart DPM FACFAS

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What is the structure that surrounds the tendon and contains nerve and blood vessels?

Tendon Sheath

Mesotenon

Epitenon

Paratenon (correct)

Which phase of tendon healing involves fibroblasts bridging the gap zone and collagen synthesis?

Inflammatory

Proliferative (correct)

Remodeling

Activation

What is the role of the tendon sheath in relation to tendon movement?

Allows tendon to glide only found on tendons with straight pull

Prevents bowstringing

Contains nerve and blood vessels

Allows tendon to glide like a piston in a cylinder (correct)

Which structure is formed by the combination of epitenon and paratenon and contains blood and lymphatics?

Mesotenon Signup and view all the answers

During which phase of tendon healing is there cellular infiltration, jelly-like serous tissue, and acidic environment stimulating collagen production?

Inflammatory Signup and view all the answers

What is the main impact during Phase I of tendon healing according to the text?

Complement cascade activation Signup and view all the answers

What is recommended regarding the power of the muscle tendon units for tendon transfers?

Transfer only muscle tendon units with a power of M4 or M5 Signup and view all the answers

At what percentage of the resting length does a muscle produce the greatest force according to the Blix Curve?

120% Signup and view all the answers

What is one of the recommended principles for tendon transfers in relation to muscle power?

Augment weak function transferred muscle will act should be remaining Signup and view all the answers

What is the recommended range of movement within the joint for an ideally transferred tendon?

Adequate range of movement Signup and view all the answers

What type of transfer is recommended even for a weak muscle if it is considered to be the deforming force?

In-phase Transfer Signup and view all the answers

What is crucial regarding the course of the tendon after a transfer procedure?

The tendon should run in a straight course Signup and view all the answers

What is the primary advantage of the End to End Krackow Repair technique?

It utilizes an interlocking weave stitch that avoids constricting the microcirculation. Signup and view all the answers

Which of the following techniques is designed to grip the outside of the tendon, avoiding constriction of the microcirculation?

End to End Lateral Trap Repair Signup and view all the answers

What is the primary purpose of a tendon suspension procedure?

To support a structure by suspending it with a tendon. Signup and view all the answers

Which of the following techniques involves roughening or crosshatching the tendons to promote fibrous union?

Side to Side Anastomosis Tendon Fixation Signup and view all the answers

What is the primary disadvantage of the End to End Bunnell Repair technique?

It can constrict the vascular supply to the tendon. Signup and view all the answers

Which of the following procedures involves detaching a muscle-tendon unit and moving it to a new location along with its neurovascular support structures?

Muscle-tendon transplantation Signup and view all the answers