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Journal of Hand Surgery (British and European Volume)
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*Wrist Injuries and Disorders
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Articles

Controlled Active Motion Following Primary Flexor Tendon Repair: A Prospective Study Over 9 Years

C. K. KITSIS
P. J. F. WADE
S. J. KRIKLER
N. K. PARSONS
L. K. NICHOLLS

From the Orthopaedic Department, Coventry and Warwickshire Hospital, Coventry, UK

Correspondence: P J. F. Wade FRCS, Orthopaedic Department, Coventry and Warwickshire Hospital, Stoney Stanton Road, Coventry CV1 4FH, UK.

One hundred and thirty patients with 339 divided flexor tendons affecting 208 fingers were studied prospectively between 1988 and 1996, to assess a regime of primary flexor tendon suture and active postoperative motion, combined with a modified Kleinert dynamic traction splint. The tendon suture technique used was a high-strength multistrand technique using a modified Kessler core and a Halsted peripheral stitch. The results were influenced by the zone in which the tendon was divided, by the physiotherapy and to a lesser extent by the grade of surgeon operating. Overall results by Strickland criteria were 92% excellent or good, 7% fair and 1% poor. There were 43 complications in 31 patients including five zone 2 ruptures (5.7%) and one further rupture in zone 5.

This method of flexor tendon repair requires good physiotherapy and splint-making capability but gives good results with minimal need for further surgery.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 3, 344-349 (1998)
DOI: 10.1016/S0266-7681(98)80055-7
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
E. S. POWELL and I. A. TRAIL
Forces Transmitted Along Human Flexor Tendons - The Effect of Extending the Fingers Against the Resistance Provided by Rubber Bands
J Hand Surg Eur Vol., April 1, 2009; 34(2): 186 - 189.
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