Tendon Healing and Repair: Sean T.Grambart DPM FACFAS
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Questions and Answers

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?

    <p>Mesotenon</p> 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?

    <p>Inflammatory</p> Signup and view all the answers

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

    <p>Complement cascade activation</p> Signup and view all the answers

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

    <p>Transfer only muscle tendon units with a power of M4 or M5</p> 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?

    <p>120%</p> Signup and view all the answers

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

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

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

    <p>Adequate range of movement</p> 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?

    <p>In-phase Transfer</p> Signup and view all the answers

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

    <p>The tendon should run in a straight course</p> Signup and view all the answers

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

    <p>It utilizes an interlocking weave stitch that avoids constricting the microcirculation.</p> 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?

    <p>End to End Lateral Trap Repair</p> Signup and view all the answers

    What is the primary purpose of a tendon suspension procedure?

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

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

    <p>Side to Side Anastomosis Tendon Fixation</p> Signup and view all the answers

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

    <p>It can constrict the vascular supply to the tendon.</p> 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?

    <p>Muscle-tendon transplantation</p> Signup and view all the answers

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