Halahal, M., Abdelshaheed, M., Elnahas, W., Khalil, A., Zeid, T. (2024). Intratendinious Versus Extracorporeal Knot Four Strand Core Suture Repair of Flexor Tendon Injuries of the Hand Zone II. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), 163-170. doi: 10.21608/ejprs.2024.352140
Mohamed Ibrahim Halahal; Mohamed Abdelshaheed; Waleed Elnahas; Ahmed Khalil; Tamer Zeid. "Intratendinious Versus Extracorporeal Knot Four Strand Core Suture Repair of Flexor Tendon Injuries of the Hand Zone II". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 2, 2024, 163-170. doi: 10.21608/ejprs.2024.352140
Halahal, M., Abdelshaheed, M., Elnahas, W., Khalil, A., Zeid, T. (2024). 'Intratendinious Versus Extracorporeal Knot Four Strand Core Suture Repair of Flexor Tendon Injuries of the Hand Zone II', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(2), pp. 163-170. doi: 10.21608/ejprs.2024.352140
Halahal, M., Abdelshaheed, M., Elnahas, W., Khalil, A., Zeid, T. Intratendinious Versus Extracorporeal Knot Four Strand Core Suture Repair of Flexor Tendon Injuries of the Hand Zone II. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(2): 163-170. doi: 10.21608/ejprs.2024.352140
Intratendinious Versus Extracorporeal Knot Four Strand Core Suture Repair of Flexor Tendon Injuries of the Hand Zone II
1The Department of Plastic Surgery, Faculty of Medicine, Mansoura University
2The Departments of Plastic Surgery, Faculty of Medicine, Mansoura University
3The Departments of Oncology Surgery, Faculty of Medicine, Mansoura University
Abstract
Background: Over the past few years, there has been a shift in how flexor tendons are repaired. Because of adhesions or ruptures that occurred when early active motion was attempted, flexor tendon repairs in the digit have a long history of producing disappointing outcomes. Objectives: To make an evaluation to the outcomes of flexor tendon repair using ordinary 4 strands suture with intratendinous knot technique and comparing it with four strands suture with extracorporeal knot. And comparing it with our innovation technique; The four-strand suture with extracorporeal knot. Subjects and Methods: This interventional prospective trial was performed on persons admitted to our emergency hospital and Burn and Plastic Surgery Center, Mansoura University with flexor tendon injuries zone II from February 2020 to February 2023. Patients were classified into two groups; group A treated with the 4-strand suture with extra corporeal knot, and group B treated with the 4-strand suture with intra tendinous knot. Results: Statistical analysis revealed a statistically significant distinction among the groups according to outcome, total active flexion (TAF) and total active range of motion (TARM) for group A, and operation time for group B. No statistically significant variations were observed amongst the groups as regard socio-demographic characteristics, injury location & dominant hand distribution among the study populations, anesthesia WALAIAT or General, follow up period, patient or parent’s satisfaction, age and outcome of treatment. Conclusion: We noticed that the four strands suture with extracorporeal knot technique for flexor tendons repair zone II was easy to accomplish, had a lower volume and no bulk at the site of repair, with no suture knot inside tendon at site of repair, besides a more regular suture, that offer less interfering with tendon gliding, less adhesion formation, adequate strong repair for an early active post-operative mobilization protocol, good results, good total active range of motion and good patients satisfaction.
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