Flexor tendon suture in zone 1 and distal zone 2 by the Mantero technique.
A series of 161 digits with flexor tendon division in zones 1 and 2 have been reviewed after management by the method described by Mantero. The concept of "urgence différée" (delayed primary suture) is still valid. In zone 2, we distinguish between division of tendons, where only profundus is divided (zone 2.1) and, where both profundus and superficialis are divided (zone 2.2). Results from zone 2.1 are comparable to results from zone 1. Overall, our results are of the order of those achieved by management according to Kleinert, but we would maintain that the Mantero technique is easier to perform and more confortable for the patient.
Wulle
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Department of Hand and Plastic Surgery, Dr Erler Clinics, Nürnberg, Germany.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000601:surgery