| Autor: |
Marco A. Rendón-Medina, Erik Hanson-Viana, Ma. de los Ángeles Mendoza-Vélez, Jesús M. Vargas-Rocha, Jorge A. Rojas-Ortiz, Rubén Hernandez-Ordoñez, Hecly L. Vazquez-Morales, Ricardo C. Pacheco-López |
| Jazyk: |
English<br />Spanish; Castilian |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Cirugía y Cirujanos, Vol 90, Iss 92 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2444-054X |
| DOI: |
10.24875/CIRU.21000777 |
| Popis: |
Introduction: Zone I extensor tendon lesion accompanies an avulsion fracture of the bone insertion. A common complication of traditional pull-out is the necrosis of the site of the button in the finger pad. Zhang described an alternative way of anchoring the cerclage to the Kirschner Wire (K-wire) to relieve the pressure in the finger pad. He describes the use of wire cerclage, for fracture reduction. The objective of this paper is to perform a comparison between wire and nylon using Zhang pull-out technique. Material and methods: We performed a cohort study comparing Nylon versus Wire in Zhang technique. Comparing cosmetic satisfaction, stiffness, residual pain, and Crawford scale. Results: When comparing the outcomes between both groups, we found no statistical difference in cosmetic satisfaction (p = 0.285), stiffness (p = 0.460), and residual pain (p =1.000), overall complications (p = 1.000), or Crawford scale (p = 1.000). We only found a significant statistical difference in pain when removing the cerclage, being greater in Group B (p = 0.008). Conclusions: We found no significant outcome difference between nylon and wire cerclage. However, at the time of removing it, patients experience less pain. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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