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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 | ||
| Article 1, Volume 26, Issue 1, 2008, Pages 65-67 PDF (0 K) | ||
| DOI: 10.33762/mjbu.2008.48363 | ||
| Author | ||
| Avadis A Muradian | ||
| Abstract | ||
| 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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