Two-Stage Flexor Tendon Reconstruction in Zone II Using Paediatric Silicon Catheter at Mayo Hospital Lahore: A Case...

The aim of the study was to assess the functional outcomes after two stage flexor tendon reconstruction in zone II tendon injury of the hand using paediatric silicon catheter. A prospective case series of total 22 digits of 21 patients having Boyes grades I, II and III neglected flexor tendon injury, for a mean time of 10 months since injury were included. Two stage reconstructive procedure was performed. A final follow-up was done at one year to assess the functional outcome using Buck-Gramcko scale. Out of 22 digits, there were 06 (27.27%) Boyes grades I digits, 11 (50%) grades II and 5 (22.72%) grades III. At final follow-up thirteen (59.09%) digits had excellent, five (22.72%) had good while three (13.63%) had satisfactory result and one (4.54%) had poor result. We concluded that two stage flexor tendon reconstruction using silicon catheter yields good results and is cost effective.