title: Re-repair of ruptured primary flexor tendon repairs in Zones I and II of the fingers in children.
abstract: The aetiology, management, and results of acute rupture of primary flexor tendon repairs in Zones I and II of the fingers in children have not been previously investigated. The author reports on a personal series of 10 children treated over a period of 13 years. The aetiology is different when compared with adults: children less than 5 years of age usually rupture their primary repairs whilst the hand is completely immobilized in a cast; whereas teenagers usually rupture their tendons when falling down while playing. In the current series, direct re-repair was performed without lengthening at the musculo-tendinous junction, and no free tendon grafts were used. The results were worse than other paediatric series of primary flexor tendon repairs. Using the Strickland-Glogovac criteria, there was only one excellent outcome, the remaining nine being either a good (n = 5) or fair (n = 4) outcome.
authors.affiliation: Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia moqattan@hotmail.com.
authors.forename: M M
authors.initials: MM
authors.lastname: Al-Qattan
mesh_terms: D000293:Adolescent; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D016059:Range of Motion, Articular; D012086:Reoperation; D013708:Tendon Injuries / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Flexor tendon; children; rupture