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Incidence of tenolysis and features of adhesions in the digital flexor tendons after multi-strand repair and early active motion.

Authors
  • Moriya, Koji1
  • Yoshizu, Takea1
  • Tsubokawa, Naoto1
  • Narisawa, Hiroko1
  • Maki, Yutaka1
  • 1 Niigata Hand Surgery Foundation, Niigata, Japan. , (Japan)
Type
Published Article
Journal
The Journal of hand surgery, European volume
Publication Date
May 01, 2019
Volume
44
Issue
4
Pages
354–360
Identifiers
DOI: 10.1177/1753193418809796
PMID: 30419758
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We report seven patients requiring tenolysis after primary or delayed primary flexor tendon repair and early active mobilization out of 148 fingers of 132 consecutive patients with Zone 1 or 2 injuries from 1993 to 2017. Three fingers had Zone 2A, two Zone 2B, and two Zone 2C injuries. Two fingers underwent tenolysis at Week 4 or 6 after repair because of suspected repair rupture. The other five fingers had tenolysis 12 weeks after repair. Adhesions were moderately dense between the flexor digitorum superficialis and profundus tendons or with the pulleys. According to the Strickland and Tang criteria, the outcomes were excellent in one finger, good in four, fair in one, and poor in one. Fingers requiring tenolysis after early active motion were 5% of the 148 fingers so treated. Indications for tenolysis were to achieve a full range of active motion in the patients rated good or improvement of range of active motion of the patients rated poor or fair. Not all of our patients with poor or fair outcomes wanted to have tenolysis. Level of evidence: IV.

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