PMID: 3320177Nov 1, 1987Paper

Flexor tendon repair and rehabilitation in zone II open sheath technique versus closed sheath technique

The Journal of Hand Surgery
M J SaldanaL J Thomes

Abstract

A comparative prospective study of the surgical management of the tendon sheath after repair of flexor tendons in zone II is reported. The study included only patients with lacerations of both flexor tendons and no other associated injuries. A modified Kessler suture was used to repair the profundus tendon and the superficialis tendon was repaired with a horizontal mattress suture. In 48 fingers the flexor tendon sheath was left open and it was closed in the second group of 42 fingers. When it was impossible to close the tendon sheath, a vein patch was taken from the dorsal veins of the hand. Both groups of patients were treated with the same regimen of controlled motion rehabilitation and supervised by the same hand therapist. Results were evaluated by the Strickland formula for total active motion of the proximal and distal interphalangeal joints. There was no statistical difference between the results of open sheath versus closed sheath in these two groups of patients treated postoperatively with the same controlled motion rehabilitation program.

References

Nov 1, 1977·The Journal of Hand Surgery·G D ListerE Atasoy
Jan 1, 1978·The Journal of Hand Surgery·P R ManskeP A Lesker
Nov 1, 1977·The Journal of Hand Surgery·L D Ketchum
Mar 1, 1982·The Journal of Hand Surgery·R H GelbermanD Amiel

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Citations

Feb 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H J Boulas, J W Strickland
May 11, 2005·Hand Clinics·Howard J Goodman, Jack Choueka
Nov 20, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·I Kwai Ben, D Elliot
May 29, 1998·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·E D Wang
Feb 10, 2012·The Journal of Hand Surgery·Christopher J DyAaron Daluiski
Jul 1, 1994·The Journal of Hand Surgery·J B TangT Yamamura
Sep 17, 2005·Annales de chirurgie plastique et esthétique·J BakhachJ C Guimberteau
Mar 21, 2000·The Journal of Hand Surgery·J W Strickland
Apr 28, 2009·British Medical Bulletin·Anil KhannaNicola Maffulli
Jan 1, 1995·Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery·V BérardG Foucher
Sep 1, 1996·The Journal of Hand Surgery·J B TangQ G Zhang
May 14, 2005·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·James W Strickland
Jan 1, 1990·The Journal of Hand Surgery·R H GelbermanD Lee

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