| Autor: |
Kitsis CK; Orthopaedic Department, Coventry and Warwickshire Hospital, Coventry, UK., Wade PJ, Krikler SJ, Parsons NK, Nicholls LK |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of hand surgery (Edinburgh, Scotland) [J Hand Surg Br] 1998 Jun; Vol. 23 (3), pp. 344-9. |
| DOI: |
10.1016/s0266-7681(98)80055-7 |
| Abstrakt: |
One hundred and thirty patients with 339 divided flexor tendons affecting 208 fingers were studied prospectively between 1988 and 1996, to assess a regime of primary flexor tendon suture and active postoperative motion, combined with a modified Kleinert dynamic traction splint. The tendon suture technique used was a high-strength multistrand technique using a modified Kessler core and a Halsted peripheral stitch. The results were influenced by the zone in which the tendon was divided, by the physiotherapy and to a lesser extent by the grade of surgeon operating. Overall results by Strickland criteria were 92% excellent or good, 7% fair and 1% poor. There were 43 complications in 31 patients including five zone 2 ruptures (5.7%) and one further rupture in zone 5. This method of flexor tendon repair requires good physiotherapy and splint-making capability but gives good results with minimal need for further surgery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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