Suture and Splint Compared With K-Wire Fixation for Open Zone 1 Extensor Tendon Injuries
| Autor: | Michael Dan, William Lumsdaine, Bryce Meads, Marcus Simonian, David Graan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Adult Male Range of movement 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Tendon Injuries Finger Injuries Medicine Humans Kirschner wire Range of Motion Articular Wire fixation Retrospective Studies Orthodontics Fibrous joint 030222 orthopedics business.industry Suture Techniques Retrospective cohort study Middle Aged Tendon medicine.anatomical_structure Treatment Outcome Splints Linear Models Surgery Female business Range of motion 030217 neurology & neurosurgery Bone Wires Follow-Up Studies |
| Zdroj: | Annals of plastic surgery. 81(2) |
| ISSN: | 1536-3708 |
| Popis: | Extensor tendon injuries are classified as per the zone of injury. Zone 1 injuries disrupt the lateral bands with resultant inability to extend the distal interphalangeal joint. Open Zone 1 injuries have many well-described treatment options. To date, none of these have been compared directly. Our aim was to compare the benefit of additional Kirschner-wire fixation with suture repair and splinting of open Zone 1 extensor tendon injuries. We performed a retrospective cohort analysis comparing 2 different surgical procedures, "Suture and Splint" versus "Suture, Splint, and Kirschner wire." The 2 outcomes measured were final range of movement and lag. We had a total of 50 patients. There was no difference in range of motion and the mean length of splint time between the 2 groups. There was increased incidence of lag associated with Kirschner-wire group. |
| Databáze: | OpenAIRE |
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