Parachute technique: a complimentary method in zone II tendon repair

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Plastic Surgery

Background:

• Flexor tendon lacerations in zone II present significant surgical challenges.
• Existing techniques aim to simplify zone II flexor tendon repair.
• Improved surgical methods are needed for better patient outcomes.

Purpose of the Study:

• To introduce and evaluate a complementary parachute technique for flexor tendon repair in zone II.
• To assess the efficacy of this technique in improving surgical repair and functional outcomes.
• To compare outcomes with early active mobilization versus controlled mobilization.

Main Methods:

• A prospective study involving 79 patients (100 fingers) with flexor tendon injuries in zone II.
• Application of the novel parachute technique as an adjunct to standard tendon repair.
• Postoperative management included early active mobilization from the first day.
• Functional outcomes were assessed using the Strickland formula (total active motion).

Main Results:

• The parachute technique, combined with early active mobilization, yielded hopeful results.
• Patients achieved a near-full range of flexion and extension.
• Outcomes were superior compared to passive mobilization or controlled active mobilization.

Conclusions:

• The parachute technique is a viable and effective complementary method for flexor tendon repair in zone II.
• Early active mobilization is crucial for optimizing functional recovery after this repair.
• This technique shows promise for improving results in hand tendon surgeries.