REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION

ABSTRACT This is a prospective study of flexor tendon repair in 26 children with 35 involved fingers, their age ranged between 1.5 to 15 years (average 7). They were presented for surgery within 3 weeks of the injury. Tendon repair using the 4- strand core suture technique was performed in 65% of th...

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Main Author: Avadis A Muradian
Format: Article
Language:English
Published: University of Basrah 2008-06-01
Series:The Medical Journal of Basrah University
Online Access:https://mjbu.uobasrah.edu.iq/article_48363_4ff4f69a2825464df62b01963c11a96a.pdf
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author Avadis A Muradian
author_facet Avadis A Muradian
author_sort Avadis A Muradian
collection DOAJ
description ABSTRACT This is a prospective study of flexor tendon repair in 26 children with 35 involved fingers, their age ranged between 1.5 to 15 years (average 7). They were presented for surgery within 3 weeks of the injury. Tendon repair using the 4- strand core suture technique was performed in 65% of the hands and 2-strand in 35%, and postoperatively 73% of the patients were immobilized by an above-elbow splint. The average follow up period was 9 months (ranged from 4 to 24). Using the Louisville scoring system, satisfactory results was achieved using 4 strand core suture technique and immobilization by above-elbow splint in 77% of the patients. The postoperative complications consisted of tendon ruptures in 15% of the cases mostly in those repaired by 2-strand core sutures with immobilization by below-elbow splint. So we believe that in children the suture technique and type of immobilization had a great influence on the final outcome following flexor tendon injuries.
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spelling doaj.art-e118ae59f4c341f29749decdeda68c292022-12-21T18:35:16ZengUniversity of BasrahThe Medical Journal of Basrah University0253-07592413-44142008-06-01261656710.33762/mjbu.2008.4836348363REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATIONAvadis A MuradianABSTRACT This is a prospective study of flexor tendon repair in 26 children with 35 involved fingers, their age ranged between 1.5 to 15 years (average 7). They were presented for surgery within 3 weeks of the injury. Tendon repair using the 4- strand core suture technique was performed in 65% of the hands and 2-strand in 35%, and postoperatively 73% of the patients were immobilized by an above-elbow splint. The average follow up period was 9 months (ranged from 4 to 24). Using the Louisville scoring system, satisfactory results was achieved using 4 strand core suture technique and immobilization by above-elbow splint in 77% of the patients. The postoperative complications consisted of tendon ruptures in 15% of the cases mostly in those repaired by 2-strand core sutures with immobilization by below-elbow splint. So we believe that in children the suture technique and type of immobilization had a great influence on the final outcome following flexor tendon injuries.https://mjbu.uobasrah.edu.iq/article_48363_4ff4f69a2825464df62b01963c11a96a.pdf
spellingShingle Avadis A Muradian
REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
The Medical Journal of Basrah University
title REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
title_full REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
title_fullStr REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
title_full_unstemmed REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
title_short REPAIR OF THE FLEXOR TENDON INJURIES OF THE HAND IN CHILDREN: ANALYSIS OF THE REPAIR TECHNIQUES AND TYPE OF IMMOBILIZATION
title_sort repair of the flexor tendon injuries of the hand in children analysis of the repair techniques and type of immobilization
url https://mjbu.uobasrah.edu.iq/article_48363_4ff4f69a2825464df62b01963c11a96a.pdf
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