Intratendinious versus extracorporeal knot four strand core suture repair of flexor tendon injuries of the hand zone II | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 04 December 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.246145.1313 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Ibrahim Halhal  1; Mohamed Elsaid Abdelshaheed1; Waleed Elnahas2; Ahmed A M Khalil1; Tamer Zeid1
| ||||
| 1Department of Plastic Surgery, Faculty of Medicine, Mansoura University, Egypt. | ||||
| 2Department of Oncology Surgery, Faculty of Medicine, Mansoura University, Egypt. | ||||
| Abstract | ||||
| Background: Over the past few years, there has been a shift in how flexor tendons are repaired. Because of adhesions or ruptures that occurred when early active motion was attempted, flexor tendon repairs in the digit have a long history of producing disappointing outcomes. Aim and objectives: To make an evaluation to the outcomes of flexor tendon repair using ordinary 4 strands suture with intratendinous knot technique and comparing it with four strands suture with extracorporeal knot. Subjects & methods: This interventional prospective trial was performed on persons admitted to our emergency hospital and Burn and Plastic surgery center, Mansoura University with flexor tendon injuries zone II from February 2020 to February 2023. Patients were classified into two groups; group A treated with the 4- strand suture with extra corporeal knot, and group B treated with the 4-strand suture with intra tendinous knot. Results: Statistical analysis revealed a statistically significant distinction among the groups according to outcome, total active flexion (TAF) and total active range of motion (TARM) for group A, and operation time for group B. No statistically significant variations were observed amongst the groups as regard socio-demographic characteristics, injury location & dominant hand distribution among the study populations, anesthesia WALAIAT or General, follow up period, patient or parent's satisfaction, age and outcome of treatment. Conclusion: we noticed that the four strands suture with extracorporeal knot technique for flexor tendons repair zone II was easy to accomplish, had a lower volume and no bulk at the site of repair, with no suture knot inside tendon at site of repair , besides a more regular suture, that offer less interfering with tendon gliding, less adhesion formation, adequate strong repair for an early active post-operative mobilization protocol, good results, good total active range of motion and good patients satisfaction. | ||||
| Keywords | ||||
| Intratendinious; extracorporeal knot; strand core suture | ||||
|
Statistics Article View: 98 |
||||
