Tenolysis after combined digital injuries in zone II.
A retrospective review of 23 patients with restricted motion after 32 combined digital injuries or amputations in zone II treated with tenolysis was conducted at an average follow-up of 5 years. Significant functional improvement was achieved in 28 out of 32 digits (88%). Total active motion improved on average 51 degrees after dorsal tenolysis, 55 degrees after palmar tenolysis, and 63 degrees after combined dorsopalmar tenolysis. Using the Buck-Gramcko scoring system, 15 digits reached excellent results, 8 showed a good result, 4 had a fair result, and 5 were rated as poor. No digits were lost. All patients returned to a full-time job. Complications consisted of 16% flexor tendon ruptures after palmar or combined tenolyses. In contrast, dorsal tenolysis proved to be a safe procedure. Prerequisites for success are compliant patients who are willing to undergo therapy for at least 3 months postoperatively. Despite the demanding postoperative therapy, the individual patient satisfaction is high following tenolysis.
Eggli
Simone
S
Department of Orthopaedic, Plastic & Reconstructive and Hand Surgery, Division of Hand Surgery, University of Bern, Inselspital, CH-3010 Bern, Switzerland.
Dietsche
Andreas
A
Eggli
Stefan
S
Vögelin
Esther
E
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D003286:Contracture / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D008297:Male; D012092:Replantation; D012189:Retrospective Studies; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery* / Q000637:transplantation