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[Repair of flexor-tendon injury in children's finger using microsurgical technique]
1Department of Orthopedic Surgery, Mineral Bureau General Hospital, Hebi Henan, P. R. China 458000.
Objective:
To improve the clinical result of repair on flexor tendon injury, and recover the defected finger function in children as far as possible.
Methods:
From January 1990 to October 1997, 12 cases with flexor tendon injury were repaired by microsurgical technique, sutured by modified Kessler method with 3/0 or 5/0 nontraumatic thread and followed by invering suture of the gap edge with 7/0 or 8/0 nontraumatic thread after debridement. Appropriate functional practice was performed postoperatively.
Results:
All the defected fingers were healed by first intention. Followed up 6 months to 1 year, there was excellent in 7 cases, better in 4 cases, moderate in 1 case and 91.67% in excellent rate according to the TAM standard of International Hand Committee.
Conclusion:
The important measures to improve the clinical result in children's flexor tendon injury are prompt and accurate diagnosis and repair of the injured tendon by microsurgical technique, and effective postoperative functional practice.