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Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers

Objective : There are few reports on outcome following flexor tendon repair of the hand in zone 5. We hypothesized that early mobilization of the fingers is possible if the suture site of repaired tendon is strong enough. The aim of this study was to assess the results of flexor tendon repair in thi...

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Autores principales: Mehdi Nasab, Seyed Abdolhossein, Sarrafan, Nasser, Saeidian, Seyed Reza, Emami, Hassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publicaitons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809199/
https://www.ncbi.nlm.nih.gov/pubmed/24353505
http://dx.doi.org/10.12669/pjms.291.2563
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author Mehdi Nasab, Seyed Abdolhossein
Sarrafan, Nasser
Saeidian, Seyed Reza
Emami, Hassan
author_facet Mehdi Nasab, Seyed Abdolhossein
Sarrafan, Nasser
Saeidian, Seyed Reza
Emami, Hassan
author_sort Mehdi Nasab, Seyed Abdolhossein
collection PubMed
description Objective : There are few reports on outcome following flexor tendon repair of the hand in zone 5. We hypothesized that early mobilization of the fingers is possible if the suture site of repaired tendon is strong enough. The aim of this study was to assess the results of flexor tendon repair in this zone using modified Kessler method reinforced by peripheral running suture and a post operative early active and passive mobilization of the fingers. Methodology: This prospective study was carried out between April 2006 and Feb 2010, and 171 digits flexor tendons cut in 42 patients were repaired by modified Kessler technique reinforced by running peripheral suture. Early active mobilization and gentle passive motion of the fingers was allowed in a dorsal wrist splint the day after surgery. Wrist Immobilization was performed for one month. Function of the tendons was assessed by Buck-Gramcko score at nine month follow up. Results: Mean age of the patients was 25.4 years (range 17-46 y). Twenty nine flexor policis longus, 77 flexor digitorum superficialis and 65 flexor digitorum profundus tendons of digits were repaired. Middle and index fingers were most commonly involved. Median and ulnar nerve repair was done in 17 and 12 cases respectively. Good to excellent results were seen in of 79.34% of FPL and 74.65% of other finger flexors. One case of FPL rupture was seen. Tenolysis of FDS was performed in one case. Recovery in thenar muscle function was good, fair and poor in 5, 2 and 10 cases after median nerve repair, while all 12 patients with ulnar nerve lesion showed some degrees of clawing of 4(th) and 5(th) fingers. Conclusion : Most patients following flexor tendon repair at zone 5 obtained good results. Early motion of the fingers seems to improve outcome in these patients. Concomitant nerve cut in particular of ulnar nerve were associated with a high rate of poor results.
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spelling pubmed-38091992013-12-18 Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers Mehdi Nasab, Seyed Abdolhossein Sarrafan, Nasser Saeidian, Seyed Reza Emami, Hassan Pak J Med Sci Original Article Objective : There are few reports on outcome following flexor tendon repair of the hand in zone 5. We hypothesized that early mobilization of the fingers is possible if the suture site of repaired tendon is strong enough. The aim of this study was to assess the results of flexor tendon repair in this zone using modified Kessler method reinforced by peripheral running suture and a post operative early active and passive mobilization of the fingers. Methodology: This prospective study was carried out between April 2006 and Feb 2010, and 171 digits flexor tendons cut in 42 patients were repaired by modified Kessler technique reinforced by running peripheral suture. Early active mobilization and gentle passive motion of the fingers was allowed in a dorsal wrist splint the day after surgery. Wrist Immobilization was performed for one month. Function of the tendons was assessed by Buck-Gramcko score at nine month follow up. Results: Mean age of the patients was 25.4 years (range 17-46 y). Twenty nine flexor policis longus, 77 flexor digitorum superficialis and 65 flexor digitorum profundus tendons of digits were repaired. Middle and index fingers were most commonly involved. Median and ulnar nerve repair was done in 17 and 12 cases respectively. Good to excellent results were seen in of 79.34% of FPL and 74.65% of other finger flexors. One case of FPL rupture was seen. Tenolysis of FDS was performed in one case. Recovery in thenar muscle function was good, fair and poor in 5, 2 and 10 cases after median nerve repair, while all 12 patients with ulnar nerve lesion showed some degrees of clawing of 4(th) and 5(th) fingers. Conclusion : Most patients following flexor tendon repair at zone 5 obtained good results. Early motion of the fingers seems to improve outcome in these patients. Concomitant nerve cut in particular of ulnar nerve were associated with a high rate of poor results. Professional Medical Publicaitons 2013 /pmc/articles/PMC3809199/ /pubmed/24353505 http://dx.doi.org/10.12669/pjms.291.2563 Text en http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mehdi Nasab, Seyed Abdolhossein
Sarrafan, Nasser
Saeidian, Seyed Reza
Emami, Hassan
Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title_full Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title_fullStr Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title_full_unstemmed Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title_short Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers
title_sort functional outcome of flexor tendon repair of the hand at zone 5 and post operative early mobilization of the fingers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809199/
https://www.ncbi.nlm.nih.gov/pubmed/24353505
http://dx.doi.org/10.12669/pjms.291.2563
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