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Flexor tendon repair in zone III.

Mohammad M Al-Qattan¹

¹King Saud University, Riyadh, Saudi Arabia. moqattan@hotmail.com

The Journal of Hand Surgery, European Volume

|September 3, 2010

Summary

This study on zone III flexor tendon repair in 42 fingers shows excellent outcomes in most patients. Immediate active range of motion protocols led to high success rates for flexor tendon injuries.

Area of Science:

Orthopedic Surgery
Hand Surgery
Traumatology

Background:

Zone III flexor tendon injuries are under-documented in medical literature.
Accurate assessment of outcomes for these injuries is crucial for effective treatment strategies.

Purpose of the Study:

To evaluate the outcomes of surgical repair for zone III flexor tendon injuries.
To assess the efficacy of a specific surgical technique and postoperative protocol.

Main Methods:

Surgical repair of 42 clean-cut zone III flexor tendon lacerations in 35 adult patients.
Utilized 'figure of eight' core sutures and continuous epitendinous sutures.
Implemented an immediate active range of motion protocol post-surgery.

Main Results:

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No tendon ruptures were reported post-repair.
38 out of 40 injured fingers (95%) achieved an excellent outcome.
One patient experienced complex regional pain syndrome, resulting in a fair outcome for two fingers.

Conclusions:

Surgical repair of zone III flexor tendon injuries using the described technique yields high success rates.
Early active range of motion is a safe and effective postoperative protocol for these injuries.
The study highlights the potential for excellent functional recovery after zone III flexor tendon repair.