Up to five-week delay in primary repair of Zone 2 flexor tendon injuries: outcomes and complications.
J Hand Surg Eur Vol
; 46(8): 818-824, 2021 10.
Article
in English
| MEDLINE | ID: covidwho-1277887
ABSTRACT
We report the outcomes of delayed primary repair of flexor tendons in Zone 2 in 31 fingers and thumb (28 patients) averaging 15 days (range 4-37) after injury in 2020. The delay was longer than usual due to the COVID-19 pandemic. The tendons were repaired with a 6-strand core suture (M-Tang method) or a double Tsuge suture and a peripheral suture. This was followed by an early, partial-range, active flexion exercise programme. Adhesions in four digits required tenolysis. These patients were not with longest delay. Outcomes of two improved after tenolysis. The other two patients declined further surgery. One finger flexor tendon ruptured in early active motion. This was re-repaired, and final outcome was good. Overall excellent and good results using the Tang criteria were in 27 out of 31 fingers and thumbs (87%). The time elapsed between the injury and surgery is not an important risk factor for a good outcome, rather it depends on proper surgical methods, the surgeon's experience and early mobilization, properly applied. Adhesions may occur, but they can be managed with tenolysis.Level of evidence IV.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Tendon Injuries
/
Finger Injuries
/
COVID-19
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Hand Surg Eur Vol
Year:
2021
Document Type:
Article
Affiliation country:
17531934211024435
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