Extensor Tendon Repair Outcomes Based on Zone of Injury.
| Autor: | Dalton SS; JPS Health Network, Fort Worth, TX, USA., Maharjan LM; The University of North Texas Health Science Center, Fort Worth, USA., Yousuf H; The University of North Texas Health Science Center, Fort Worth, USA., Pientka WF 2nd; JPS Health Network, Fort Worth, TX, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Hand (New York, N.Y.) [Hand (N Y)] 2024 Jul; Vol. 19 (5), pp. 831-836. Date of Electronic Publication: 2023 Feb 03. |
| DOI: | 10.1177/15589447221150510 |
| Abstrakt: | Background: The purpose of this study was to examine the clinical outcomes of extensor tendon repairs based on zone of injury. Methods: A retrospective chart review was conducted on all patients who underwent primary extensor tendon repair at our institution. Extensor tendon repairs were performed using a multiple figure-of-8 suture technique for extensor zones 1-4 and a modified Kessler suture technique for extensor zones 5-8. Inclusion criteria included a minimum of 8 weeks of follow-up, complete data available for review, and extensor tendon injury requiring primary surgical repair. Results: A total of 132 digits were included for analysis: 46 digits in zones 1-4 and 86 digits in zones 5-8. The operative time for zone 1-4 injuries averaged 88.96 minutes, and the operative time for zone 5-8 injuries averaged 114.42 minutes. Final extension was found to be 2.33° for zones 1-4 and 6.66° for zones 5-8. Final flexion was found to be 141.4° for zones 1-4 and 195.3° for zones 5-8. There was 1 infection identified in zones 1-4 and 7 in zones 5-8. Conclusions: Surgically repaired extensor tendons in zones 1-4 were found to have a statistically significant worse final flexion compared with surgically repaired extensor tendons in zones 5-8. No significant differences were found in final extension, complication rates, and time to full activity. Operative times for zone 5-8 tendon repairs were found to be significantly longer than operative times for zone 1-4 repairs, possibly due to more complex injury patterns seen in the more proximal zones. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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