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Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
[The Mantero technique for flexor tendon repair - an alternative?]
1Klinik für Handchirurgie und Plastische Chirurgie, Kliniken Dr. Erler gGmbH, Nürnberg. baer.wolfgang@t-online.de
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|December 19, 2003
Summary
The Mantero technique for flexor tendon repair in zone 1 and 2 offers excellent results, allowing immediate active mobilization and minimizing adhesions. This pull-out suture method is a viable alternative for flexor digitorum profundus (FDP) and flexor pollicis longus (FPL) injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Restoring free tendon gliding after flexor tendon reconstruction is crucial for finger function.
- The Mantero pull-out suture technique facilitates early active mobilization for flexor digitorum profundus (FDP) zone 1 lesions.
- Minimizing tendon adhesions is key to successful functional recovery.
Purpose of the Study:
- To evaluate the outcomes of the Mantero technique for flexor tendon repair in zone 1 and distal zone 2.
- To compare the results of the Mantero technique with other reconstructive procedures in the literature.
- To assess the functional recovery and patient satisfaction following Mantero tendon repair.
Main Methods:
- A retrospective study of 96 patients undergoing Mantero technique for FDP/flexor pollicis longus (FPL) reconstruction (1995-2001).
- 87 patients were re-examined postoperatively (average 43 months) to assess joint function, range of motion, and grip strength.
- Outcomes were evaluated using Buck-Gramcko and DASH scores, compared to the contralateral side, and analyzed for influencing factors like age, gender, and injury type.
Main Results:
- 90.8% of patients achieved excellent or good results (Buck-Gramcko score).
- The average DASH score was 5.4, indicating high patient satisfaction.
- Age (>50 vs. <20) and digit involved (little finger vs. others) significantly influenced outcomes. No tendon ruptures occurred despite early mobilization.
Conclusions:
- The Mantero technique is a valuable alternative for flexor tendon reconstruction in zone 1 and distal zone 2.
- Immediate postoperative mobilization is a key advantage, reducing adhesion risk.
- The technique provides a secure suture, even with short distal tendon stumps.
