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Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery
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Suture and Splint Compared With K-Wire Fixation for Open Zone 1 Extensor Tendon Injuries.
Marcus Simonian1, Michael Dan, David Graan
1From the Orthopaedic Department, John Hunter Hospital, Newcastle, New South Wales, Australia.
Annals of Plastic Surgery
|February 27, 2018
Summary
For open Zone 1 extensor tendon injuries, adding Kirschner-wire fixation to suture repair and splinting did not improve range of motion. This technique, however, increased the incidence of extensor lag.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Traumatology
Background:
- Extensor tendon injuries are classified by injury zone.
- Zone 1 injuries affect the lateral bands, impairing distal interphalangeal joint extension.
- Open Zone 1 injuries have multiple treatment options, but direct comparisons are lacking.
Purpose of the Study:
- To compare the efficacy of additional Kirschner-wire fixation versus standard suture repair and splinting for open Zone 1 extensor tendon injuries.
- To evaluate the impact of Kirschner-wire fixation on range of motion and extensor lag.
Main Methods:
- Retrospective cohort analysis of 50 patients with open Zone 1 extensor tendon injuries.
- Comparison of two surgical groups: 'Suture and Splint' versus 'Suture, Splint, and Kirschner wire'.
- Outcomes measured included final range of motion and extensor lag.
Main Results:
- No significant difference in final range of motion between the two groups.
- Mean splinting duration was similar for both treatment groups.
- A higher incidence of extensor lag was observed in the group treated with Kirschner-wire fixation.
Conclusions:
- Additional Kirschner-wire fixation does not enhance range of motion for open Zone 1 extensor tendon injuries.
- Kirschner-wire fixation may increase the risk of extensor lag in these injuries.
- Standard suture repair and splinting may be sufficient for managing open Zone 1 extensor tendon injuries.
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