FLEXOR TENDON REPAIR IN THE HAND

Authors

  • Gassan Fandi Damascus University

Abstract

The hand is a unique tool that man possesses and distinguishes it from the hands of other creatures by its ability to grasp and touch.  Functional compatibility between the hand and the cerebral cortex achieves tremendous harmony that makes a person accomplish what he wants and pushes him daily to more creations. In view of the importance of the hand for humans, great importance has been given to its injuries, especially the tendon injury, due to the total or partial functional disability left behind, which is reflected on the individual and society.

Repairs of Tendon injuries have made remarkable progress, and modern suture materials, methods, kinetic treatment methods, and antibiotics have been provided in the hope that a significant part of the functions of their injured hands will return to these patients. However, the relative disability caused by adhesions remains an important problem, and efforts are still heading towards the best. A basic knowledge of the anatomy of the flexor tendons, especially in the forearm, wrist, and hand, is assumed, as is an understanding of the essential biomechanical aspects of flexor digitorum profundus and sublimis function in the fingers.

Methods: Research methods: the latest new studies and practical experiments on the primary and secondary repairs of the flexor tendons in the hand, studies on human cadavers of biomechanics of suture formation, suture materials used for repairs, suture formation techniques, and postoperative rehabilitation program.

Results: The results of primary flexor tendon repair also are better than secondary repair or staged reconstruction with a graft. especially In zone II,  the primary surgeon has the greatest influence on the final result. To make the decision and perform a primary repair, a surgeon should be sufficiently skilled to perform a tendon graft or tenolysis later if the primary repair fails.

Conclusion: Exacting wound care is crucial. Primary repairs may be fail because of adhesions especially ,in the area of the pulleys. A peripheral suture increases the strength of the repair, and a four-strand core suture combined with a peripheral suture allows a postoperative routine of light active flexion with the wrist extended, leading to better function and fewer complications. Early active motion rehabilitation programs may have a beneficial effect on tendon healing and may reduce adhesion formation significantly.

Downloads

Published

2023-09-13

How to Cite

1.
فندي غ. FLEXOR TENDON REPAIR IN THE HAND. Tuj-hlth [Internet]. 2023Sep.13 [cited 2024May9];45(4):119-45. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/15366

Issue

Vol. 45 No. 4 (2023): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.