Dergiler / Hand and Microsurgery / 2021 / Cilt: 10 - Sayı: 3

Zone 1-2 flexor tendon repair results with WALANT

Sayfa
219–226
Yayın Tarihi
2022-10-19
DOI
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Conclusion: The low tenolysis rates, the absence of ruptures, and improved outcome scores signaled encouragement to follow current flexor tendon repairs.

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Amaç & Hipotez:Objective: The aim of this study was to report the outcomes of patients applied with zone 1 and 2 flexor tendon repairs using the with strong core sutures, venting of critical pulleys, intraoperative active movement testing with a wide-awake surgical setting, and early active mobilization approaches.
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Temel Bulgular & Veri:Patients and Methods: Twenty pulleys impairing excursions during intraoperative active movement were totally vented and up to half of two A2 pulleys were judiciously vented.
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Sonuç & Katkı:Conclusion: The low tenolysis rates, the absence of ruptures, and improved outcome scores signaled encouragement to follow current flexor tendon repairs.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aim of this study was to report the outcomes of patients applied with zone 1 and 2 flexor tendon repairs using the with strong core sutures, venting of critical pulleys, intraoperative active movement testing with a wide-awake surgical setting, and early active mobilization approaches. Patients and Methods: Twenty pulleys impairing excursions during intraoperative active movement were totally vented and up to half of two A2 pulleys were judiciously vented. Therapy started on the third postoperative day. Assessments were per- formed at the end of the sixth, eighth, and 12th weeks. The Strickland score was calculated for each injured finger and the Disabilities of Arm, Shoulder and Hand (DASH) scale was completed. The Strickland and DASH scores in the consecutive assessments were compared. Results: Evaluations of 21 fingers of 17 (11 males, six females) patients with a mean age of 30.0±7.9 years were made. There were 17 zone 2 and four zone 1 repairs. One finger (1/21, 4.7%) was operated on again for stiffness (tenolysis) and there was no rupture. The Strickland and DASH scores improved with a statistically significantly at each assessment. Conclusion: The low tenolysis rates, the absence of ruptures, and improved outcome scores signaled encouragement to follow current flexor tendon repairs.

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Bu Makaleye Atıf Yap

Ersan, Ö., Ayhan, E., Tuna, Z., Kuzucu, Y. (2022). Zone 1-2 flexor tendon repair results with WALANT. Hand and Microsurgery, Cilt: 10 - Sayı: 3, 219–226. https://ajindex.com/articles/522626

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Kaynakça (17)

  1. Tang JB. Flexor Tendon Injuries. Clin Plast Surg 2019;46:295-306
  2. Tang JB, Zhou X, Pan ZJ, Qing J, Gong KT, Chen J. Strong Digital Flexor Tendon Repair, Exten- sion-Flexion Test, and Early Active Flexion: Expe- rience in 300 Tendons. Hand Clin 2017;33: 455-63
  3. Giesen T, Reissner L, Besmens I, Politikou O, Cal- cagni M. Flexor tendon repair in the hand with the M-Tang technique (without peripheral sutures), pulley division, and early active motion. J Hand Surg Eur 2018;43:474-9
  4. Zhou X, Li XR, Qing J, Jia XF, Chen J. Outcomes of the six-strand M-Tang repair for zone 2 primary flexor tendon repair in 54 fingers. J Hand Surg Eur 2017;42:462-8
  5. Pan ZJ, Xu YF, Pan L, Chen J. Zone 2 flexor tendon repairs using a tensioned strong core suture, sparse peripheral stitches and early active motion: results in 60 fingers. J Hand Surg Eur 2019;44:361-6
  6. Moriya K, Yoshizu T, Tsubokawa N, Narisawa H, Matsuzawa S, Maki Y. Outcomes of flexor tendon repairs in zone 2 subzones with early active mobili- zation. J Hand Surg Eur 2017;42:896-902
  7. Tang JB. New developments are improving flex - or tendon repair. Plast Reconstr Surg 2018;141: 1427-37
  8. Tang JB. Release of the A4 pulley to facilitate zone II flexor tendon repair. J Hand Surg Am 2014;39:2300-7
  9. Lalonde D, Higgins A. Wide Awake Flexor Ten- don Repair in the Finger. Plast Reconstr Surg Glob Open 2016;4:e797
  10. Lalonde D. Wide-awake flexor tendon repair. Plast Reconstr Surg 2009;123:623-5
  11. Lalonde DH, Martin AL. Wide-awake flexor ten- don repair and early tendon mobilization in zones 1 and 2. Hand Clin 2013;29:207-13
  12. Khor WS, Langer MF, Wong R, Zhou R, Peck F, Wong JK. Improving Outcomes in Tendon Repair: A Critical Look at the Evidence for Flexor Tendon Repair and Rehabilitation. Plast Reconstr Surg 2016;138:1045e-58e
  13. Unsal SS, Yildirim T, Armangil M. Comparison of surgical trends in zone 2 flexor tendon repair be- tween Turkish and international surgeons. Acta Orthop Traumatol Turc 2019;53:474-7
  14. Tang JB. Recent evolutions in flexor tendon re- pairs and rehabilitation. J Hand Surg Eur Vol 2018;43:469-73
  15. Lalonde DH, Wong A. Dosage of local anesthe- sia in wide awake hand surgery. J Hand Surg Am 2013;38:2025–8
  16. Ayhan E, Ozdemir E, Gumusoglu E, Cevik K, Eskandari MM. The rise of wide awake hand sur- gery - Contribution from Turkey. Hand Microsurg 2018;7:125-34
  17. Kleinert HE, Verdan C. Report of the Committee on Tendon Injuries (International Federation of Societies