Reoperation Following Zone II Flexor Tendon Repair

Overview

Journal Hand (N Y)

Publisher Sage Publications

Specialties General Surgery
Orthopedics

Date 2022 Feb 28

PMID 35220786

Authors

Luca L Bruin

Jonathan Lans

Frederick Wang

Kyle R Eberlin

Neal C Chen

Affiliations

Soon will be listed here.

Abstract

Background: The goal of zone II flexor tendon surgery is to perform a repair with sufficient strength to withstand the forces encountered during rehabilitation. Postoperative rerupture and adhesion formation may lead to reoperation. This study aimed to determine the factors associated with reoperation after primary zone II flexor tendon repair.

Methods: In this retrospective case series, a total of 252 fingers in 201 patients underwent zone II flexor tendon repair. A medical record review was performed to collect data regarding patient demographics, injury and treatment characteristics and postoperative complications including reoperation. Reoperation was defined as any unplanned surgical procedure performed after initial flexor tendon repair.

Results: There were 49 fingers (19%) in 42 patients that underwent reoperation at a median of 5.5 (interquartile range: 2.8-7.9) months. Older age, workers' compensation, and a Kessler-type repair of the flexor digitorum profundus were independently associated with reoperation.

Conclusions: In vitro studies suggest that Kessler-type repairs are inferior compared with other suture configurations. Our study demonstrates a clinical correlation to these biomechanical studies. Our results suggest that Kessler-type repairs are inferior compared with non-Kessler-type repairs, due to postoperative complications requiring secondary surgeries.

Citing Articles

The Clinical Efficacy of Fat Injection on the Repair of Hand Flexor Tendon: A Randomized Clinical Trial.

Farokh Forghani S, Haghighimanesh H, Ghadimi T, Akbari H, Farahmand H, Naderi Gharahgheshlagh S World J Plast Surg. 2023; 12(2):41-46.

PMID: 38130388 PMC: 10732290. DOI: 10.52547/wjps.12.2.41.

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