Retrospective evaluation the results of the repair of flexor tendon injuries in the hand using a combination of epitenon first suture technique and controlled early active mobilization

  • Saad Mohamed Saad Ibrahiem
  • Hassan M. Kholosy
  • Ihab Z Azam
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Saad Mohamed Saad Ibrahiem, Hassan M. Kholosy, and Ihab Z Azam, “Retrospective evaluation the results of the repair of flexor tendon injuries in the hand using a combination of epitenon first suture technique and controlled early active mobilization”, ijmhs, vol. 11, no. 01 (Jan- Feb), pp. 1545–1550, Feb. 2021.
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Abstract

Background: The response of healing tendons to mechanical load varies depending on anatomic location. Flexor tendons require motion to prevent adhesion formation, yet excessive force results in gap formation and subsequent weakening of the repair. The study evaluates the effect of early active mobilization (EAM) and the use of epitenon-first suture repair after flexor tendon surgery in the hand.

Patients and Methods: A retrospective analysis of collected data was performed of 40 patients receiving primary flexor tendon repair in the hand from in 2017, during which time 51 fingers were treated. Exclusion criteria were finger revascularization, age younger than 20 years, rehabilitation by means other than EAM, and missing information data. The analysis of EAM results under the rehabilitation protocols was conducted using t-tests. The rupture rate and the assessment of adhesion/infection were defined as endpoints.

Results: There was a statistically significant difference between the total active motion values (TAM ) of the EAM protocols one year after surgery using the epitenon-first suture technique. The rupture rates were 5%, which were not statistically different.

Conclusions: This study showed a favorable effect of EAM protocol on TAM a year after surgery. The percent rupture rate was clinically insignificant.

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