Flexor tendon repair and rehabilitation in zone II open sheath technique versus closed sheath technique
| Autor: | Linwood J. Thomes, Paul K. Ho, Jimmy A. Chow, David M. Lichtman, Miguel J. Saldana, Sam Dovelle |
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| Rok vydání: | 1987 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Flexor tendon repair Adolescent medicine.medical_treatment Active motion Tendon Injuries Vein patch Finger Injuries Medicine Humans Orthopedics and Sports Medicine Physical Therapy Modalities Fibrous joint Wound Healing Rehabilitation business.industry Suture Techniques Hand Injuries Anatomy Middle Aged musculoskeletal system Combined Modality Therapy Surgery Tendon Tendon sheath medicine.anatomical_structure Female business Interphalangeal Joint Follow-Up Studies |
| Zdroj: | The Journal of hand surgery. 12(6) |
| ISSN: | 0363-5023 |
| Popis: | A comparative prospective study of the surgical management of the tendon sheath after repair of flexor tendons in zone II is reported. The study included only patients with lacerations of both flexor tendons and no other associated injuries. A modified Kessler suture was used to repair the profundus tendon and the superficialis tendon was repaired with a horizontal mattress suture. In 48 fingers the flexor tendon sheath was left open and it was closed in the second group of 42 fingers. When it was impossible to close the tendon sheath, a vein patch was taken from the dorsal veins of the hand. Both groups of patients were treated with the same regimen of controlled motion rehabilitation and supervised by the same hand therapist. Results were evaluated by the Strickland formula for total active motion of the proximal and distal interphalangeal joints. There was no statistical difference between the results of open sheath versus closed sheath in these two groups of patients treated postoperatively with the same controlled motion rehabilitation program. |
| Databáze: | OpenAIRE |
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