title: Factors influencing prognosis after direct repair of the flexor pollicis longus tendon: multivariate regression model analysis.
abstract: Few studies have focused on the relevance of early motion exercise on repair of the flexor pollicis longus tendon. We evaluated 29 patients with flexor pollicis longus tendon lacerations treated by direct end-to-end suture, and statistically assessed the clinical factors that influenced the results by using a multivariate logistic regression model. Association with age, vascular damage and timing of repair did not affect the results. Patients with flexor pollicis longus tendon lacerations in zone II or with the tendon stumps retracted proximally had a significantly high risk of unsatisfactory results. Postoperative passive flexion and active extension exercise using rubber bands significantly decreased the risk of unsatisfactory results in these conditions. Results of this study indicate that early postoperative motion is useful after every FPL tendon repair, particularly in patients with zone II laceration or retraction of the proximal tendon stump.
authors.affiliation: Department of Orthopedic Surgery, Hokkaido University School of Medicine, Sapporo 060-8638, Japan. t-kasaji@bibaih.rofuku.go.jp
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kasashima
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kato
authors.forename: Akio
authors.initials: A
authors.lastname: Minami
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D005260:Female; D006801:Humans; D007103:Immobilization; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive / Q000379:methods; D015999:Multivariate Analysis; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011182:Postoperative Care; D011379:Prognosis; D012307:Risk Factors; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013933:Thumb / Q000293:injuries* / Q000601:surgery*