Clinical Results of Flexor Tendon Repair in Zone II Using a six Strand Double Loop Technique

The clinical and functional results of 46 patients who underwent zone II flexor tendon repair using the Lim/Tsai technique combined with the Kleinert/Duran early active mobilisation regime and place and hold exercises were assessed. The results were compared with 25 patients who were treated by the modified Kessler technique and the Kleinert/Duran regime alone. After a follow-up of 8 to 17 weeks, the Lim/Tsai group had a better grip strength and a significantly better total active motion of 141° compared with 123°. The rupture rates (Lim/Tsai: 1/51; Kessler: 3/26) and the extension deficits were not statistically different in the two groups. However, the complication rate was significantly lower and the average time of treatment was significantly shorter in the Lim/Tsai group. These results support the use of the Lim/Tsai six-strand repair technique in zone II flexor tendon injuries and early active mobilisation without rubber-band traction.

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Early Results of Flexor Tendon Repair in Zone II With Modified, Four-Strand Strickland Technique

Polish Journal of Surgery ◽

10.2478/v10035-008-0100-8 ◽

2008 ◽

Vol 80 (12) ◽

Author(s):

Ireneusz Walaszek ◽

Andrzej Żyluk ◽

Bernard Piotuch

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Flexor Tendon Repair ◽

Early Results ◽

Zone Ii

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Clinical results of releasing the entire A2 pulley after flexor tendon repair in zone 2C

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193416646521 ◽

2016 ◽

Vol 41 (8) ◽

pp. 822-828 ◽

Cited By ~ 28

Author(s):

K. Moriya ◽

T. Yoshizu ◽

N. Tsubokawa ◽

H. Narisawa ◽

K. Hara ◽

...

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Clinical Results ◽

The Other ◽

Flexor Tendon Repair ◽

Level Of Evidence ◽

A2 Pulley ◽

Active Mobilization ◽

Finger Motion

We report the results of complete release of the entire A2 pulley after zone 2C flexor tendon repair followed by early postoperative active mobilization in seven fingers and their comparisons with 33 fingers with partial A2 pulley release. In seven fingers, release of the entire A2 pulley was necessary to allow free gliding of the repairs in five fingers and complete release of both the A2 and C1 pulleys was necessary in two. No bowstringing was clinically evident in any finger. Two fingers required tenolysis. Using Tang’s criteria, the function of two digits was ranked as excellent, four good and one fair; there was no failure. The functional return in these seven fingers was similar with that in 33 fingers with partial A2 pulley release; in these patients only one finger required tenolysis. Our results support the suggestion that release of the entire A2 pulley together with the adjacent C1 pulley does not clinically affect finger motion or cause tendon bowstringing, provided that the other pulleys are left intact. Level of evidence: IV

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Gap Formation After Flexor Tendon Repair in Zone II

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery ◽

10.1080/02844311.1993.12005639 ◽

1993 ◽

Vol 27 (4) ◽

pp. 263-268 ◽

Cited By ~ 50

Author(s):

Krister L. Silfverskiöld ◽

Esther J. May

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Gap Formation ◽

Flexor Tendon Repair ◽

Zone Ii

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Finger zone II flexor tendon repair in children (5–10 years of age) using three ‘figure of eight’ sutures followed by immediate active mobilization

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193410395837 ◽

2011 ◽

Vol 36 (4) ◽

pp. 291-296 ◽

Cited By ~ 9

Author(s):

Mohammad M. Al-Qattan

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Early Mobilization ◽

Final Outcome ◽

Study Group ◽

Flexor Tendon Repair ◽

Active Mobilization ◽

Zone Ii ◽

Adult Rehabilitation

For children between 5–10 years of age with zone II flexor tendon lacerations, the literature recommends a modified early mobilization programme under the supervision of a hand therapist but the fingers are immobilized between physiotherapy sessions. We report on a series of children between 5–10 years of age with flexor tendon lacerations (n = 54 fingers) in zone II repaired with a six-strand core suture (three separate ‘figure of eight’ sutures) and actively mobilized immediately after surgery similar to adult rehabilitation programmes with no immobilization between the physiotherapy sessions. The average follow-up for the study group was 13 months (range 7–25 months). There were no ruptures. The final outcome was excellent in 46 fingers (85%) and good in the remaining eight fingers (15%) using the Strickland–Glogovac criteria.

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