Palmar granuloma following flexor tendon repair using Ticron: a case for absorbable suture material?

Abstract

Non-absorbable sutures are routinely used in flexor tendon repair. Silicone coated sutures are known to cause intense granuloma formation, and Ticron is well known to cause such late foreign body type reactions. We report a case of palmar granuloma following flexor tendon repair using Ticron. Although commonly used in flexor tendon repair, the authors could not find any other description of palmar granuloma following Ticron use in the literature. The granuloma was successfully treated by excision under antibiotic cover. We advise that surgeons should be aware of this complication, that suture granuloma may mimic other common conditions, and present a brief review of the literature. We conclude that the use of absorbable suture materials should be considered in flexor tendon repair, as outcomes are not dissimilar and may avoid such foreign body granulomas.

• Authors: Amit Pabari, Srinivasan Iyer, Olivier A Branford, Anthony P Armstrong
• Journal: Journal of plastic, reconstructive & aesthetic surgery : JPRAS (J Plast Reconstr Aesthet Surg) Vol. 64 Issue 3 Pg. 409-11 (Mar 2011) ISSN: 1878-0539 [Electronic] Netherlands
• PMID: 20471933 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Polyesters
• poly(lactide)

Topics

• Absorbable Implants (adverse effects)
• Accidents, Occupational
• Adult
• Granuloma, Foreign-Body (etiology)
• Hand Injuries (surgery)
• Humans
• Male
• Polyesters (adverse effects)
• Sutures (adverse effects)
• Tendon Injuries (surgery)