Six Strand Technique For Primary Flexor Tendon Repair | ||||
| Benha Journal of Applied Sciences | ||||
| Article 32, Volume 6, Issue 6, December 2021, Page 259-262 PDF (572.96 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2021.214818 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| M.R. Hassan; H.E. Farag; A.S. Ibrahim | ||||
| Orthopedic Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| Tendon repairs made with six strands may survive both active and passive finger movements. When compared to traditional 2-strand repairs, multi-strand repairs have a reduced rupture rate. There have, however, been no randomised prospective clinical trials that have looked at this specific topic. The goal of this study is to evaluate the clinical outcomes of six strand flexor tendon repair with early active mobilisation as a postoperative rehabilitation strategy for patients with acute flexor tendon damage. Method: We examine the clinical outcomes of flexor tendon restoration utilising a six-strand suture approach in 46 of 22 patients' fingers. In a protective splint, fingers were actively mobilised shortly after surgery. The typical follow-up duration is six months. The following criteria were used to choose all of the patients: Adults, ages 15 to 55, with open flexor tendon injuries in the hand who presented to us within 48 hours after injury and were operated on. Patients who met the following criteria were not included in the study: The damaged finger has poor vascularity. A severe cutaneous lesion that may necrotize or inhibit initial wound healing. Early finger mobility is hampered by associated fractures. Injuries to the flexor and extensor tendons are common. FDP and FDS were both repaired in all zones utilising 3-0/4-0 Prolene sutures using a modified 6 strands (Savage method) approach. Outcomes: Based on the Strickland assessment system, 91 percent of patients had good to outstanding results, with a 4 percent rupture rate. Conclusion: In terms of ultimate functional range and rate of rupture, multi-strand flexor tendon repair outperforms traditional 2-strand repair. | ||||
| Keywords | ||||
| flexor tendons; Early mobilization; six-strand | ||||
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