[Results of primary repair of isolated flexor digitorum profundis lesions in the digital canal. 51 cases].
Isolation section of the flexor tendon in the digital canal of the long fingers is classically considered to have a good prognosis. The authors evaluate the repercussions on the mobility of the proximal and distal interphalangeal joints, based on a series of 51 sections (44 patients). The mean follow-up at the time of review was 7.7 years. 84% good or very good results were observed in this homogeneous series of simple lesions. Poor results included 2 cases of secondary rupture and 2 infections. They were essentially due to "whiplash" retraction of the proximal end in the palm for lesions in zone 1, and contuse section of tendons in poorly motivated patients. The results of sections in zone I are comparable to the results of sections in zone II. Stiffness of the PIP joint, even moderate, is frequent, whether the lesion is situated in zone I or zone II. The mobility of the metacarpophalangeal joint remains normal in every case. The authors did not observe better results in cases mobilized according to Kleinert's procedure compared to cases immobilized by plaster, and do not have a satisfactory explanation for this result.
Hartmann
D
D
Service de Chirurgie Orthopédique Traumatologique et Plastique, CHU, Hôpital Jean-Minjoz, Beseaçon.
Gérard
F
F
Garbuio
P
P
Tropet
Y
Y
D000293:Adolescent; D000328:Adult; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005384:Finger Joint; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D016059:Range of Motion, Articular; D013708:Tendon Injuries; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000503:physiopathology / Q000601:surgery