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[Comparison between different anchors for zone I flexor tendon repair]
J Fageot1, I Pluvy1, A Woussen1
1Service de chirurgie plastique, esthétique et reconstructrice, chirurgie orthopédique et traumatologique, et chirurgie de la main, CHU de Besançon, 3, boulevard Alexandre Fleming, 25000 Besançon, France.
Annales De Chirurgie Plastique Et Esthetique
|June 11, 2023
Summary
This study compared transosseous anchors for zone I deep flexor tendon repair. No significant differences in complications or functional recovery were found between anchor types, though placement ease varied.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Tendon repair
Context:
- Transosseous reinsertion complements the Bunnell pull-out technique for zone I deep flexor tendon injuries.
- Various anchor devices are available for this surgical procedure.
- Comparative data on device performance is crucial for clinical decision-making.
Purpose:
- To compare different transosseous anchor devices used in zone I deep flexor tendon repair.
- To evaluate complications, functional recovery, and ease of use associated with various anchors.
- To identify potential differences in intraoperative performance and patient outcomes.
Summary:
- A single-center study analyzed 27 patients undergoing transosseous anchor reinsertion for zone I deep flexor tendon injuries between 2010 and 2021.
- Microfix®, Quickanchor plus®, Miniquick anchor®, Juggerknot® Soft Anchor, and Kerifix® anchors were evaluated.
- While Juggerknot® anchors showed a significant difference in the number of anchors used intraoperatively, no significant differences in complications or quickDASH functional recovery scores were observed across the different anchor types.
Impact:
- The findings suggest that current transosseous anchor options provide comparable clinical outcomes for zone I deep flexor tendon repair.
- The study highlights potential variations in intraoperative handling and grip during anchor placement.
- This research aids surgeons in selecting appropriate devices based on both clinical outcomes and intraoperative characteristics.
