Microsurgical one-stage repair of hand flexor tendon injuries and rehabilitation: a report of 97 cases.
- Author:
Yan-bin LIN
1
;
Er-you FENG
;
Yi-yuan ZHANG
;
Li-li XIAO
;
Ren-bin LI
;
Ping LI
;
Chong-wang CAI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Female; Hand Injuries; rehabilitation; surgery; Humans; Male; Microsurgery; methods; Middle Aged; Tendon Injuries; rehabilitation; surgery
- From: China Journal of Orthopaedics and Traumatology 2009;22(3):214-215
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the therapeutic effects of microsurgical one-stage repair of hand flexor tendon injuries.
METHODSAmong 97 patients with (182 flexor tendons) hand injuries, 59 patients were male and 38 patients were female, ranging in age from 6 to 65 years, with an average of 32 years. Twenty-two patients got injuries by glasses, 32 patients got injuries by knife, 29 patients got injuries by saw, and 14 patients got crush injuries. The tendon injuries in this study consisted of 12 cases of I zone, 35 cases of II zone, 28 cases of III zone, 8 cases of IV zone and 14 cases of V zone. Sixty-eight patients complicated with injuries of blood vessel and nerve, and 53 patients also had fingers fractures. All the patients were treated with modified Kessler method to repair tendon at one-stage, and were given early rehabilitation step by step.
RESULTSAfter the treatment, 97 patients were followed up from 3 to 24 months. According to TAM standard, 48 patients got an excellent result, 39 good, 8 fair and 2 bad.
CONCLUSIONMicrosurgical one-stage tendon repair should be applied. Early rehabilitation and microsurgery repair are important for preventing tendon adhesion.
