Functional Outcome of the Hand following Flexor Tendon Repair at the ‘No Man's Land’
| Autor: | CO Ho, YF Law, CY Tsang, TK Chan, WK Lee, YK Fung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty business.product_category Flexor tendon repair Adolescent medicine.medical_treatment Fingers Tendons 03 medical and health sciences Grip strength 0302 clinical medicine Suture (anatomy) lcsh:Orthopedic surgery Finger Joint Hand strength medicine Humans Orthopedic Procedures No man s land Range of Motion Articular 030222 orthopedics Rehabilitation Hand Strength business.industry Suture Techniques Recovery of Function 030229 sport sciences Middle Aged Surgery lcsh:RD701-811 Treatment Outcome Rubber band Female Finger joint business |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 14 (2006) |
| ISSN: | 2309-4990 |
| Popis: | Purpose. To evaluate the functional outcome of the hand following flexor tendon repair at ‘no man's land’ using 2 strands of a modified Kessler core suture and combined controlled motion rehabilitation protocol. Methods. Records of 31 zone-2 flexor tendon injuries in 21 digits of 16 patients between July 2000 and June 2005 were reviewed retrospectively. The injured tendons were repaired within 24 hours using 2 strands of a modified Kessler core suture, reinforced by a continuous circumferential epitendon suture. All patients completed a rehabilitation protocol that included active extension against a rubber band, passive flexion, and controlled passive extension and passive flexion exercises. Functional outcome of the fingers was assessed using the Buck-Gramcko II score. Hand grip strength, rehabilitation period, and rupture rate were also measured. Results. 17 (81%) out of 21 digits in 15 out of 16 patients achieved an excellent-to-good functional grade. The remaining patient with concomitant injuries to 4 (19%) digits attained a poor functional grade, attributable to poor compliance with the rehabilitation protocol. The mean rehabilitation period was 130 days and the mean grip strength was 78% that of the uninjured side. Concomitant digital nerve injury did not adversely affect the final outcome. Only one (4.8%) patient experienced a rupture. Conclusion. The surgical method and rehabilitation protocol used for zone-2 flexor tendon injury is safe and results in a reasonably good functional outcome. |
| Databáze: | OpenAIRE |
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