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Factors Influencing the Management of the FlexorTendon Injuries in the Hand

Avadis A. Muradian

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2002 Volume: 8 Issue: 2 Pages: 253
Publisher: Basrah University جامعة البصرة

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