Controlled active motion following primary flexor tendon repair: a prospective study over 9 years.
One hundred and thirty patients with 339 divided flexor tendons affecting 208 fingers were studied prospectively between 1988 and 1996, to assess a regime of primary flexor tendon suture and active postoperative motion, combined with a modified Kleinert dynamic traction splint. The tendon suture technique used was a high-strength multistrand technique using a modified Kessler core and a Halsted peripheral stitch. The results were influenced by the zone in which the tendon was divided, by the physiotherapy and to a lesser extent by the grade of surgeon operating. Overall results by Strickland criteria were 92% excellent or good, 7% fair and 1% poor. There were 43 complications in 31 patients including five zone 2 ruptures (5.7%) and one further rupture in zone 5. This method of flexor tendon repair requires good physiotherapy and splint-making capability but gives good results with minimal need for further surgery.
Kitsis
C K
CK
Orthopaedic Department, Coventry and Warwickshire Hospital, Coventry, UK.
Wade
P J
PJ
Krikler
S J
SJ
Parsons
N K
NK
Nicholls
L K
LK
D006801:Humans; D009068:Movement; D011184:Postoperative Period; D011446:Prospective Studies; D013165:Splints; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D014954:Wrist Injuries / Q000534:rehabilitation / Q000601:surgery*