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Staged flexor tendon reconstruction in children.

¹Department of Orthopaedics, Mayo Clinic, Rochester, Minn.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery

|January 1, 1992

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Staged flexor tendon reconstruction in children for zone 2 injuries had a higher complication rate than in adults. Close attention to postoperative care and patient selection can improve outcomes in pediatric cases.

Area of Science:

Pediatric Orthopedics
Hand Surgery
Reconstructive Surgery

Background:

Zone 2 flexor tendon injuries in children present unique challenges.
Staged reconstruction is a common approach for these injuries.

Purpose of the Study:

To review outcomes of staged flexor tendon reconstruction in pediatric patients with zone 2 injuries.
To identify factors influencing success and complications.

Main Methods:

Retrospective review of 14 staged flexor tendon reconstructions in 12 children (aged 1-15) between 1974-1989.
Outcomes graded by final total active motion (TAM) and complications.

Main Results:

Overall results included 7 poor, 1 fair, 2 good, and 3 excellent outcomes with a mean final TAM of 140 degrees.

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Outcomes were better with supervised rehabilitation by a hand therapist.

Complications included infections and tendon rupture, leading to poor results in 4 cases.

Conclusions:

Staged flexor tendon reconstruction in children carries a higher risk of complications and failure compared to adults.
Improved outcomes may be achieved through meticulous postoperative care and careful patient selection based on cooperation.