Lautenbach, Géraldine; Guidi, Marco; Tobler-Ammann, Bernadette; Beckmann-Fries, Vera; Oberfeld, Elisabeth; Schrepfer, Lorena; Hediger, Sebastian; Kaempfen, Alexandre; Vögelin, Esther; Calcagni, Maurizio (2023). Six-Strand Flexor Pollicis Longus Tendon Repairs With and Without Circumferential Sutures: A Multicenter Study. Hand, 18(5), pp. 811-819. Sage 10.1177/15589447211057295
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BACKGROUND
The purpose of this study is to assess outcomes in flexor pollicis longus tendon repairs with 6-strand core sutures with and without circumferential sutures.
METHODS
A 6-strand core suture technique with and without circumferential sutures was used. Thirty-three patients were summarized in the C group (circumferential group) and 16 patients in the NC group (non-circumferential group). After the surgery, the wrist was stabilized with a dorsal blocking splint and a controlled early active motion protocol was applied. At weeks 6, 13, and 26 data on demographics, type of injury, surgery, postoperative rehabilitation, complications such as re-rupture and the following outcome measurements were collected: range of motion and its recovery according to the Tang criteria, Kapandji score, thumb and hand strengths, Disabilities of the Arm, Shoulder and Hand score, and satisfaction.
RESULTS
There were no significant differences in range of motion and strength between the 2 treatment groups. In both groups, the outcome measurements increased over time and they expressed similar satisfaction with the surgical treatment. In 4 patients of the C group tendon repair ruptured and in 1 patient of the NC group.
CONCLUSIONS
Six-strand repair technique is an effective procedure to assure early active motion after flexor pollicis longus tendon injuries and good results can also be achieved by omitting the circumferential suture.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Handchirurgie 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery |
UniBE Contributor: |
Tobler, Bernadette, Vögelin, Esther |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1558-9455 |
Publisher: |
Sage |
Language: |
English |
Submitter: |
Veronika Picha |
Date Deposited: |
03 Feb 2022 11:46 |
Last Modified: |
12 Jul 2023 00:11 |
Publisher DOI: |
10.1177/15589447211057295 |
PubMed ID: |
34991354 |
Uncontrolled Keywords: |
circumferential suture early active motion flexor pollicis longus tendon primary flexor tendon repair without circumferential suture |
BORIS DOI: |
10.48350/164344 |
URI: |
https://boris.unibe.ch/id/eprint/164344 |
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