Retrospective Outcome Analysis of Staged Flexor Tendon Reconstruction
Autor: | M. Kon, T. G. Frakking, P. M. N. Werker, K. P. Depuydt |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Outcome analysis Physical examination 030230 surgery 03 medical and health sciences Active motion 0302 clinical medicine Tendon Injuries Finger Injuries Humans Medicine Aged 030222 orthopedics Transplantation medicine.diagnostic_test Flexor tendon business.industry Significant difference Pinch grip Long fingers Middle Aged Plastic Surgery Procedures Surgery body regions Treatment Outcome Passive motion Female business |
Zdroj: | Journal of Hand Surgery. 25:168-174 |
ISSN: | 0266-7681 |
DOI: | 10.1054/jhsb.1999.0338 |
Popis: | Forty staged flexor tendon reconstructions were done in 38 patients between 1991 and 1997. Results were assessed by clinical examination and questionnaire. At follow-up (mean, 35 months) a tenolysis had already been done in 12 cases. In the long fingers there was a significant difference between total active motion (187 degrees ) and total passive motion (237 degrees ). There was also a significant difference between active (24 degrees ) and passive (58 degrees ) IP motion in the thumbs. The mean power grip was 82%, pinch grip 74% and key grip 63% of the contralateral hand. None of the ten FPL reconstructions could be graded as excellent; four were good, using the criteria of Buck-Gramcko et al. (1976). Twenty-eight of the FDP reconstructions had excellent or good results. These results were better than the subjective scores given by the patients, 24 of whom complained of functional problems in daily life at follow-up. |
Databáze: | OpenAIRE |
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