Le bilan clinique initial
• Évaluation clinique préopératoire :
•situation idéale : souple, sensible, vascularisé,
tégumentaire parfaite et d’une
armature squelettique
solide - axée
•L’adhésion du patient au programme exigeant
•préopératoire rééducation et appareillage
BOYES ’ PREOPERATIVE CLASSIFICATION
Condition
scar whith mobile joints
trophic changes
: Heavy skin scarring because of
or prior surgery; deep scarring
of failed primary repair or infection
Injury to joint whith
range of motion
Injury to digital nerves
in tropic changes n finger
Involvemnt of multiple
whith combination of above
Boyes JH: Flexor tendon grafts in the fingers
thumb: an evaluation of end results, J Bone Joint
Am 32:489-499, 1950.