EFFICACY COMPARISON OF VARIOUS REPAIR TECHNIQUES FOR FLEXOR TENDON INJURIES: A SYSTEMATIC REVIEW AND META-ANALYSIS

Autor:	Made Bramantya Karna, Putu Feryawan Meregawa, Anak Agung Gde Duta Maha Putra, Anak Agung Gde Yuda Asmara
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Hand function Flexor tendon business.industry Biomechanics General Medicine Meta-analysis Ultimate tensile strength Tendon repair Physical therapy medicine Kessler technique business Cruciate Systematic search Kessler
Zdroj:	Journal Orthopaedi and Traumatology Surabaya; Vol. 10 No. 1 (2021): April 2021; 11-21
ISSN:	2722-712X 2460-8742
Popis:	Background: Flexor tendon injuries are potentially disabling, as flexor tendons are essential to hand function, playing a vital role in all types of grip, including power grip and fine pinch grip. However, there has been no consensus regarding the most effective repair technique for this pathology.Methods: A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane. A total of 9 studies (266 tendons from 108 patients) were included.Results: In comparison between Modified Kessler and Four-stranded Cruciate technique, Four-stranded Cruciate Suture produces higher 2 mm gap strength (I2= 93%, P< 0.00001), higher ultimate strength (I2= 99%, P=0.02), and better Functional Outcome as measured by Strickland Criteria (I2=0%, P< 0.0001). In comparison between the 2-Stranded and the 4-Stranded Kessler technique. The 4-Stranded Kessler technique produces higher 2 mm gap strength (I2= 98%, P=0.02) and higher ultimate strength (I2= 60%, P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::da2fb4f4630e2ec30af82fd5ab398b16 https://e-journal.unair.ac.id/JOINTS/article/view/24035 Zobrazit plný text záznamu