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Published on: December 10, 2021
Controlled active motion following primary flexor tendon repair: a prospective study over 9 years
C K Kitsis1, P J Wade, S J Krikler
1Orthopaedic Department, Coventry and Warwickshire Hospital, Coventry, UK.
Journal of Hand Surgery (Edinburgh, Scotland)
|July 17, 1998
Summary
This study shows that primary flexor tendon repair with active motion and a modified Kleinert splint yields excellent results for divided flexor tendons. Good physiotherapy is crucial for optimal outcomes in tendon repair surgery.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Research
Background:
- Flexor tendon injuries are common and challenging to treat.
- Optimal surgical techniques and postoperative rehabilitation are critical for functional recovery.
Purpose of the Study:
- To evaluate a specific protocol for primary flexor tendon repair.
- To assess the efficacy of active postoperative motion combined with a modified Kleinert dynamic traction splint.
Main Methods:
- Prospective study of 130 patients with 339 divided flexor tendons (1988-1996).
- Utilized a high-strength, multistrand tendon suture technique (modified Kessler core, Halsted peripheral stitch).
- Implemented active postoperative motion and a modified Kleinert dynamic traction splint.
Main Results:
- 92% of patients achieved excellent or good results based on Strickland criteria.
- Outcomes were influenced by the zone of tendon division and physiotherapy.
- Complications included 5.7% zone 2 ruptures and one zone 5 rupture.
Conclusions:
- Primary flexor tendon repair with this technique and rehabilitation protocol provides good outcomes.
- Effective physiotherapy and splinting are essential for successful flexor tendon repair.
- This method offers good results with limited need for revision surgery.
