Six-Strand Flexor Pollicis Longus Tendon Repairs With and Without Circumferential Sutures: A Multicenter Study.

Lautenbach, Géraldine; Guidi, Marco; Tobler-Ammann, Bernadette; Beckmann-Fries, Vera; Oberfeld, Elisabeth; Schrepfer, Lorena; Hediger, Sebastian; Kaempfen, Alexandre; Vögelin, Esther; Calcagni, Maurizio (2022). Six-Strand Flexor Pollicis Longus Tendon Repairs With and Without Circumferential Sutures: A Multicenter Study. (In Press). Hand, p. 15589447211057295. 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)

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 and 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:

04 Feb 2022 00:14

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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