SUBCUTANEOUS MIGRATION OF SILICONE ROD: COMPLICATION OF 2-STAGE FLEXOR TENDON RECONSTRUCTION.
Muhammad-Shukri MS, Anizar-Faizi A, Abdullah S
Department of Orthopaedic & Traumatology, Faculty of Medicine Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
A 2-stage flexor tendon reconstruction is the current accepted treatment method for a chronic flexor tendon injury. This involves placement of a silicon rod to allow a pseudosheath tunnel to form around the rod which is then follow by replacement of the silicon rod by a tendon graft placed inside the pseudosheath tunnel after three months. Complications such as migration of the silicone rod have been previously reported. We reported here our first case of a patient who underwent the first stage procedure but developed silicon rod migration up into the forearm within three months of implantation, resulting in failure of formation of the pseudosheath. He required three operative procedures in total as it was necessary to repeat the first stage again thus delaying the treatment progress.
Keywords: Complications, Foreign body (Silicon rod) migration, Reconstructive surgical procedures (2-stage flexor tendon reconstruction), tendon injury.
Corresponding Author: Muhammad Shukri Muhammad Safian, Department of Orthopaedic and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia. Telephone: +60136321782. Email: email@example.com
Brunei Int Med J. 2019;15:40-43