Prognostic factors in two-stage flexor tendon reconstruction: Is it possible to predict surgical failure?

Orthopaedics & Traumatology, Surgery & Research : OTSR
I DjerbiB Coulet

Abstract

Two-stage surgical reconstruction of the flexor tendons by the Hunter technique is the salvage option in case of old tears or a severely damaged fibro-osseous canal. The identification of poor prognostic factors during the assessment of injuries at presentation could help determine indications and predict failures. We report a retrospective single center series of reconstruction of zone 2 of the flexor digitorum profundus of the long fingers between 2000 and 2012, in 22 patients, mean age 33 years old with a mean follow-up of 36.4 months. The total active range of motion (TAM) of the rays was 110° with a mean range of motion of the PIP and DIP of 71° and 39° respectively. Sixty-three percent of patients were satisfied and 73% returned to their professional activities. A group with good and fair results was determined based on the Strickland classification (68%, 15 patients, mean TAM 126°, mean QuickDASH 22.6) and a group with poor results (32%, 7 patients, mean TAM 77°, mean QuickDASH 43.4). The factors of a poor prognosis were associated injuries to the extensor apparatus, infection (phlegmon) (P=0.023) and joint injuries (P=0.09). There are no factors in the literature to predict a poor prognosis except for reconstruction of ...Continue Reading

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Citations

Oct 27, 2017·The Journal of Hand Surgery, European Volume·Aude BommierChristophe Oberlin
Jan 28, 2020·Case Reports in Orthopedics·Esteban EsquivelBrendan MacKay
Dec 1, 2018·The Journal of Hand Surgery, European Volume·Hannah H LeeMarshall L Balk
Jan 18, 2021·Hand Surgery and Rehabilitation·S DurandR Diot
Oct 27, 2021·The Journal of Hand Surgery, European Volume·Ahmed Fathy SadekMohamed Atef Ahmed

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