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Partial Lacerations of Flexor Tendons in ChildrenPrimary repair versus conservative treatmentFrom the Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel Correspondence: Dr S. Stahl, Hand Surgery Unit, Rambam Medical Center, PO Box 9602, Hafia 31096, Israel We compared the outcome of 17 partially lacerated (less than 75% of cross-sectional area) flexor tendons in children treated by surgical repair to that of 19 tendons treated conservatively by early mobilization. The outcome of both groups was similarly favourable. No complications, such as triggering or complete tendon tear, were found in either group. We advocate early mobilization in children in whom a partial division of the flexor tendon is diagnosed clinically. Exploration should be carried out only in doubtful cases to exclude complete division of the tendon.
Journal of Hand Surgery (British and European Volume), Vol. 22, No. 3,
377-380 (1997) |
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