Comparative Study between Six Strands versus Four Strands Core Sutures Approach in Repair of Flexor Tendon Injuries | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 17 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2025.411199.1441 | ||
| Authors | ||
| Ahmed Maged Ahmed Elmesady* 1; Gamal Alhabaa2; Ayman Abdelmofeed2; Mohammed Abdelfatah Elsayed3; ola ahmed seif2 | ||
| 1Plastic Surgery Department, Al-Bank Al-Ahly Hospital, Egypt | ||
| 2Plastic Surgery Unit, General Surgery Department, Faculty of Medicine, Benha University, Egypt | ||
| 3General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| Abstract Background: Flexor tendon injuries, often caused by sharp instruments, can lead to significant functional impairments. Restoring full motion and grip strength after repair is challenging due to complications such as tendon rupture and adhesions. Objectives: to compare the outcomes of flexor tendon repair using a 6-strand triple modified Kessler core suture versus a 4-strand double modified Kessler core suture in both Flexor Digitorum Profundus (FDP) & Flexor Digitorum Superficialis (FDS) tendons injuries in one finger and contralateral hand was normal. Methods: This prospective interventional study was multicenters, conducted on 40 patients aged from 22 years to 70 years with cut flexor tendons. Patients were randomly assigned to Group A (6-strand repair) and Group B (4-strand repair). Outcomes were assessed through pain intensity Visual Analog Scale (VAS), grip strength, total active motion, proximal interphalangeal joint (PIPJ), Distal interphalangeal joint (DIPJ) flexion, and complications at 3 weeks, 6 weeks, 3 months, and 6 months after surgery. Results: Group A demonstrated significantly higher total active motion (60.5±13.81 vs. 82.2±12.78, p=0.002), PIPJ flexion (78.7±16.11 vs. 96.9±13.78, p=0.014), and DIPJ flexion (73±12.02 vs. 84.2±10.88, p=0.042) compared to Group B. No tendon ruptures occurred in Group A, while Group B had a rupture rate of 5%. Conclusion: The 6-strand triple modified Kessler core suture was found to significantly improving functional outcomes in patients with flexor tendon injuries, suggesting it may be the superior repair technique for enhancing joint mobility and recovery. | ||
| Keywords | ||
| Six Strands Cruciate Approach; Double Modified Kessler Approach; Flexor Tendon Injuries; Visual Analog Scale | ||
|
Statistics Article View: 1 |
||
