title: [Operative treatment of flexor pollicis longus tendon with Krackow suture, functional results--preliminary results].
abstract: BACKGROUND
  Surgical treatment of the injuried flexor tensons is the important part of hand surgery. Tendon adhesions, ruptures, joint contcatures-stifness are only one part of the problem one is faced during the tendon treatment. In spite of improvement in surgical technique and suture material, the end result of sutured flexor tendons still represent a serious problem.
  
  
  OBJECTIVE
  To present of operative treatment of flexor pollicis longus injury with Krakow suture technique.
  
  
  METHODS
  All patients are treated in the first 48 hours after the accident. The regional anesthesia was performed with use of turniquet. Beside spare debridement, the reconstruction of digital nerves was done. All patients started with active and pasive movements-excercises on the first postoperative day. Follow-up was from 6 to 24 months. In evaluation of functional recovery the grip strenght, pinch strenght, range of movements of interphalangeal and metacarpophalangeal joiht and DASH score were used.
  
  
  RESULTS
  In the last two years there were 30 patients, 25 males (83.33%) and 5 females (16.66%). Mean age was 39.8 years, ranged from 17 to 65 years. According to mechanism of injury the patients were divided in two groups: one with sharp and other with wider zone of injury. Concomitant digital nerve lesions was noticed in 15 patients (50%).
  
  
  CONCLUSIONS
  the Krackow sutrue allowed early rehabilitation, which prevent tendon adhesions, enabled faster and better functional recovery.
authors: Klinika za ortopedsku hirurgiju i traumatologiju KCS, Medicinski fakultet, Beograd.
authors: Marko Z
authors: MZ
authors: Bumbasirević
authors: Sladjana
authors: S
authors: Andjelković
authors: Aleksandar R
authors: AR
authors: Lesić
authors: Vojo S
authors: VS
authors: Sudjić
authors: Tomislav
authors: T
authors: Palibrk
authors: Goran Dz
authors: GDz
authors: Tulić
authors: Dejan V
authors: DV
authors: Radenković
authors: Djordje D
authors: DD
authors: Bajec
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D013933:Thumb / Q000293:injuries*; D055815:Young Adult