Abstract |
This study reports the treatment of divided flexor pollicis longus (FPL) tendons from 1989 to 1998. The first 30 patients, in whom the tendon was repaired with a Kessler suture and simple epitendinous suture and mobilized using early active motion with only the thumb splinted, achieved 70/73% (White/Buck-Gramcko assessments respectively), excellent or good results and a rupture rate of 17%. The next 39 patients underwent the same treatment but in a splint with the thumb position altered and the fingers also splinted, with 67/72% excellent or good results and a rupture rate of 15%. The next 49 patients underwent repair with a Kessler suture and a reinforced epitendinous suture and the same mobilization as group 2, with 76/80% excellent or good results and a rupture rate of 8%. The final combination of repair and early active mobilization for primary repair of FPL tendons compares favourably with previous methods of treatment.
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Authors | M Sirotakova, D Elliot |
Journal | Journal of hand surgery (Edinburgh, Scotland)
(J Hand Surg Br)
Vol. 24
Issue 6
Pg. 647-53
(Dec 1999)
ISSN: 0266-7681 [Print] Scotland |
PMID | 10672796
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Child
- Exercise Therapy
- Female
- Humans
- Immobilization
- Male
- Middle Aged
- Postoperative Care
- Postoperative Complications
- Rupture, Spontaneous
- Splints
- Suture Techniques
- Tendon Injuries
(rehabilitation, surgery)
- Thumb
(injuries)
- Time Factors
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