Results of 4-strand modified Kessler core suture and epitendinous interlocking suture followed by modified Kleinert protocol for flexor tendon repairs in Zone 2
| Autor: | Ibrahim Kaplan, Beray Kelesoglu, Kemal Ozaksar, Özgün Barış Güntürk, Abuzer Uludag, Murat Kayalar |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Turkey Core suture 030230 surgery Time-to-Treatment Tendons 03 medical and health sciences Sex Factors 0302 clinical medicine Strickland lcsh:Orthopedic surgery Tendon Injuries Finger Injuries Outcome Assessment Health Care medicine Humans Orthopedics and Sports Medicine Flexor tendon Zone 2 Rupture Fibrous joint 030222 orthopedics Repair time Multiple Trauma business.industry Suture Techniques Age Factors General Medicine Middle Aged Tendon rupture Tendon Surgery lcsh:RD701-811 medicine.anatomical_structure Pip joint Kleinert Female Contracture medicine.symptom business Research Paper Kessler Follow-Up Studies |
| Zdroj: | Acta Orthopaedica et Traumatologica Turcica, Vol 52, Iss 5, Pp 382-386 (2018) Acta Orthopaedica et Traumatologica Turcica |
| ISSN: | 1017-995X |
| DOI: | 10.1016/j.aott.2018.06.003 |
| Popis: | Objective: There has been no consensus in literature for the ideal flexor tendon repair technique. The results of zone 2 flexor tendon lacerations repaired primarily by 4 strand Modified Kessler core suture and epitendinous interlocking suture technique followed by Modified Kleinert protocol were investigated. Methods: 128 fingers of 89 patients who had flexor tendon laceration in zone 2 built the working group. Functional outcomes were evaluated using the Strickland formula. A statistical analysis was made between Strickland scores and some parameters such as age, gender, follow-up time, co-existing injury existence, repair time, single or multiple finger injury, tendon rupture and the effect of FDS injury and repair. Results: Excellent, good, fair, poor results were obtained from 71 (55.5%), 46 (35.9%), 8 (6.3%), 3 (2.3%) fingers, respectively. Time of the repair has a significant effect on the strickland scores. Surgery performed within the first 24 hours following the injury gave better results. 3 fingers (2.3%) had tendon ruptures. Existence of ruptures affected the results significantly. Co-existing injuries were found that they did not have any effect on the results. In the fingers in which both FDP and FDS tendons were lacerated, no significant relationship was found between only FDP repair, both FDP and FDS repair and single FDS slip repair. Additionally no significant relationships between follow-up time, gender, single or multiple finger injury and Strickland scores were observed. 13 fingers (10.1%) had PIP joint contracture above 20°. Conclusion: The low rupture rate (2.3%) and 91.4% ‘good’ and ‘excellent’ scoring rates in our series support the idea that modified Kessler 4-strand core suture and epitendinous interlocking suture repair combined with modified Kleinert protocol gives satisfactory results. Repair time is one of the most important factors affecting the functional results and surgery should not be delayed if there is an experienced surgeon available. Level of evidence: Level IV, therapeutic study. Keywords: Flexor tendon, Zone 2, Core suture, Strickland, Kleinert, Kessler |
| Databáze: | OpenAIRE |
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