[Microsurgical one-stage repair of hand flexor tendon injuries and rehabilitation: a report of 97 cases].
OBJECTIVE
To investigate the therapeutic effects of microsurgical one-stage repair of hand flexor tendon injuries.


METHODS
Among 97 patients with (182 flexor tendons) hand injuries, 59 patients were male and 38 patients were female, ranging in age from 6 to 65 years, with an average of 32 years. Twenty-two patients got injuries by glasses, 32 patients got injuries by knife, 29 patients got injuries by saw, and 14 patients got crush injuries. The tendon injuries in this study consisted of 12 cases of I zone, 35 cases of II zone, 28 cases of III zone, 8 cases of IV zone and 14 cases of V zone. Sixty-eight patients complicated with injuries of blood vessel and nerve, and 53 patients also had fingers fractures. All the patients were treated with modified Kessler method to repair tendon at one-stage, and were given early rehabilitation step by step.


RESULTS
After the treatment, 97 patients were followed up from 3 to 24 months. According to TAM standard, 48 patients got an excellent result, 39 good, 8 fair and 2 bad.


CONCLUSIONS
Microsurgical one-stage tendon repair should be applied. Early rehabilitation and microsurgery repair are important for preventing tendon adhesion.
Department of Orthopaedics, the 2th Hospital of Fuzhou, Fuzhou 350007, Fujian, China. Lyanb32@yahoo.com.cn
Yan-bin
YB
Lin
Er-you
EY
Feng
Yi-yuan
YY
Zhang
Li-li
LL
Xiao
Ren-bin
RB
Li
Ping
P
Li
Chong-wang
CW
Cai
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006230:Hand Injuries / Q000534:rehabilitation* / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013708:Tendon Injuries / Q000534:rehabilitation* / Q000601:surgery*