Seyed Abdolhossein Mehdinasab, MD; Naser Sarafan, MD; Hassan Emami, MD
Abstract
Background: Lacerations of flexor tendons are among the common soft tissue injuries of upper limb, which are often caused by broken glass, or other penetrating wounds. The aim of this study is to report the treatment outcome of such injures in zone V.Methods: In a 14-month period, 30 consecutive cases ...
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Background: Lacerations of flexor tendons are among the common soft tissue injuries of upper limb, which are often caused by broken glass, or other penetrating wounds. The aim of this study is to report the treatment outcome of such injures in zone V.Methods: In a 14-month period, 30 consecutive cases of flexor tendon laceration in zone V that were repaired by a modified Kessler technique in Ahvaz teaching centers were prospectively followed with a minimum follow-up of six months. The cases were assessed by Buck-Gramcko scoring system. Results: 120 finger flexor tendons, consisting of 18 thumbs and 102 fingers were repaired. The patients had a mean age of 23 years, and each patient had a mean number of 4 tendons repaired. The functional results were excellent in 85 (70.62%), good in 6 (5.28%) and poor in 29 (24.1%) fingers. Seventeen patients could return to their original occupation.Conclusions: Repair of zone V flexor tendon injury in our hand had satisfactory results in only 76 percent of cases, and resulted in inability to return to pre-injury occupation in about half of the cases.
