A Survey of Zone II Flexor Tendon Repair Techniques and Rehabilitation Protocols Preferred by Malaysian Orthopaedic Practitioners
https://doi.org/10.5704/MOJ.2207.011
- Author:
Shalimar A
1
;
Lim CH
1
;
Wong SK
1
;
Lau SY
1
;
Anizar FA
2
;
Shukri S
3
Author Information
1. Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
2. Department of Orthopaedic, Hospital Alor Setar, Alor Setar, Malaysia
3. Department of Orthopaedic, Hospital Sarikei, Sarikei, Malaysia
- Publication Type:Journal Article
- Keywords:
flexor tendon, core suture, modified Kessler, Adelaide, epitendinous
- From:Malaysian Orthopaedic Journal
2022;16(No.2):87-94
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Flexor tendon repair is challenging mainly
due to the need to balance between a strong repair technique,
ease of tendon gliding and early mobilisation to prevent
adhesions while preventing tendon rupture. While different
countries have different preferences in repair techniques,
core sutures and suture types, there is still no study in
Malaysia regarding our preference and whether we are
following the current evidence.
Materials and methods: We performed a survey with a
standard questionnaire distributed during our annual national
orthopaedic meeting in 2019. The standard questionnaire
consisted of 24-objective multiple-choice questions
concerning the treatment of flexor tendon injury were
distributed with consent. A total of 290 questionnaires that
were filled out correctly were included in this study.
Results: The majority of respondents preferred the Modified
Kessler technique (n=96, 33.1%) followed by the Adelaide
technique (n=81, 27.9%) and Double Modified Kessler
(n=45, 15.5%). However, for the number of core strands in
the repair, the majority utilised the 4-strand (n=203, 70%),
followed by 2-strand (n=34, 11.7%) and 6-strand (n=21,
7.2%). The majority utilised Prolene sutures (n=259, 89.3%)
with a suture size of 4/0 (n=157, 54.1%). For rehabilitation,
56.9% (n=165) preferred early passive motion, 27.6%
(n=80) early active motion and 14.8% (n=43) would strictly
immobilise.
Conclusion: There is still no consensus as to the best
technique; however, the aim of tendon repairs is still the
same around the world. It would be helpful to know our
preferences to improve our current practice and outcomes
following these common flexor tendon injuries in hand.
- Full text:16.2022my1253.pdf
