Factors Influencing the Management of the Flexor Tendon Injuries in the Hand | ||
| Basrah Journal of Surgery | ||
| Article 1, Volume 8, Issue 2, December 2002, Pages 0-0 PDF (0 K) | ||
| DOI: 10.33762/bsurg.2002.55211 | ||
| Author | ||
| Avadis A. Muradian | ||
| Abstract | ||
| Thirty-three patients with flexor tendon injuries in 68 fingers were studied. They were 78.8% males 21.2% females. Age was range between 16 - 45 years. Patients were assigned into two zone groups; zone II & V. Twenty six fingers (38.2%) were in zone II, and 42 (61.8%) were in zone V. Primary repair was done in 42.6% and delayed in 57.4%. Both tendons (FDS*& FDP**) were repaired in 43 fingers, isolated FDP were repaired in 25 fingers. Postoperatively, only 31 fingers were managed with early active extension/passive flexion technique. The final results were evaluated by Louisville criteria and were Satisfactory (excellent and good) in 41 fingers (60.4%). The results were correlated to the involved zones, timing of the repair, type of the repair and the post-operative management program. It is concluded from this study that it is preferable to repair both tendons if possible by delayed primary repair with early mobilization when a trained surgeon and surgical resources are available | ||
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