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Journal of Hand Surgery (British and European Volume)
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Articles

Flexor Tendon Repair in Zone 2C

J. B. TANG

From the Hand Surgery Unit, Department of Orthopaedics, Affiliated Hospital of Nantong Medical College, Nantong, Jiangsu, China

Correspondence: Jin-bo Tang, MD, PhD Associate Professor, Department of Orthopedics, Affiliated Hospital of Nantong Medical College, 20 West Temple Road, Nantong 226001. Jiangsu, China.

A randomized prospective clinical study was carried out in 33 patients (37 lingers) with lacerations of both FDS and FDP tendons in the area covered by the A2 pulley, that is, zone 2C in Tang’s subdivision of no man’s land. Both lacerated tendons were repaired in 19 fingers and repair of only FDP with regional excision of FDS were performed in 18 fingers. Follow-up of average 12 months revealed that there was no significant difference in the end results evaluated according to the TAM system. The average TAM was 204° in the fingers with suture of FDP only and 187° in those with suture of both tendons. The fingers with suture of both tendons showed a higher rate of re-operation due to adhesions or rupture of repair. This study suggests that it is better to repair only FDP with regional excision of FDS when both tendons are injured in zone 2C.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 1, 72-75 (1994)
DOI: 10.1016/0266-7681(94)90054-X
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