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Journal of Hand Surgery (British and European Volume)
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Articles

Retrospective Outcome Analysis of Staged Flexor Tendon Reconstruction

T. G. FRAKKING
K. P. DEPUYDT
M. KON
P. M. N. WERKER

From the University Medical Centre Utrecht, Utrecht, The Netherlands

Correspondence: P. N. M. Werker MD PhD, University Medical Centre Utrecht, Department of Plastic, Reconstructive and Hand Surgery, Room g 04 122, Heidelbergerglaan 100, 3584 CX Utrecht, The Netherlands. E-mail: Pwerker{at}worldonline.nl

Forty staged flexor tendon reconstructions were done in 38 patients between 1991 and 1997. Results were assessed by clinical examination and questionnaire. At follow-up (mean, 35 months) a tenolysis had already been done in 12 cases. In the long fingers there was a significant difference between total active motion (187°) and total passive motion (237°). There was also a significant difference between active (24°) and passive (58°) IP motion in the thumbs. The mean power grip was 82%, pinch grip 74% and key grip 63% of the contralateral hand. None of the ten FPL reconstructions could be graded as excellent; four were good, using the criteria of Buck-Gramcko et al. (1976). Twenty-eight of the FDP reconstructions had excellent or good results. These results were better than the subjective scores given by the patients, 24 of whom complained of functional problems in daily life at follow-up.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 2, 168-174 (2000)
DOI: 10.1054/jhsb.1999.0338
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