4. Key Factors in Zone V Flexor Tendon Repair, Our experience at Liaquat National Hospital
Batool Urooj Rajput1, Syed Sheeraz ur Rahman 2, Mirza Shehab Afzal Beg1 and Maryam Noor1
Objective: The aim of this study is to analyze the outcome of long flexor tendon injuries in zone 5 when repair done using Modified Kessler Technique.
Study Design: Descriptive case series study
Place and Duration of Study: This study was conducted at the Plastic surgery Department, Liaquat National Hospital, Karachi from January 2015 to June 2015.
Materials and Methods: It was a single centered descriptive case series. All tendons were repaired by Modified Kessler Technique and patients were assessed postoperatively at 2,4,6,8 and 12 weeks via goniometer. The Strickland scoring system was used to assess range of motion and data was recorded on SPSS v. 20
Results: On the basis of Strickland scoring system, good to excellent results were obtained in 79% of Flexor Pollicis Longus and 82% of other flexor tendons, while a small number had fair to poor results. Tendon dehiscence was seen in 2 FPL and 2 Flexor Digitorum Profundus). 3 patients required tenolysis after 6 months of surgery including 1 FPL and 2 FDS.
Conclusion: Early exploration with proper identification of structures, repair with meticulous technique along with early postoperative mobilization in a compliant patient are necessary to return to normal daily activities and leads to good results in majority of the patients.
Key Words: Tendon injuries, zone V, spaghetti wrist, modified Kessler technique, modified Belfast regimen
Citation of articles: Rajput BU, Rahman SS, Beg MSA, Noor M. Key Factors in Zone V Flexor Tendon Repair, Our experience at Liaquat National Hospital. Med Forum 2017;28(9):13-16.