Strong Digital Flexor Tendon Repair, Extension-Flexion Test, and Early Active Flexion : Experience in 300 Tendons - 20/12/17

Doi : 10.1016/j.hcl.2017.04.012

Jin Bo Tang, MD ^a,^⁎ , Xiang Zhou, MD ^b, Zhang Jun Pan, MD ^c, Jun Qing, MD ^b, Ke Tong Gong, MD ^d, Jing Chen, MD ^a
^a Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China
^b Department of Surgery, Jiangyin People's Hospital, Jiangyin, Jiangsu, China
^c Department of Surgery, Yixing People's Hospital, Yixing, Jiangsu, China
^d Department of Hand Surgery, Tianjing Hospital, Tianjing, China

^∗Corresponding author. Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.Department of Hand SurgeryThe Hand Surgery Research CenterAffiliated Hospital of Nantong University20 West Temple RoadNantongJiangsu226001China

Résumé

Over the past 2 decades, repair and rehabilitation methods of primary repair of the digital flexor tendon have changed. In this article, we outline interim results from ongoing investigations in several units. Surgeons in these units now perform digital flexor tendon repairs according to a treatment protocol. Before adopting the protocol, they had no history of tendon-related research; they had not used any of the repair and rehabilitation methods described in the protocol. The surgeons involved are junior or midlevel attending surgeons. At the end of this article, we outline current practice of digital flexor tendon repair in Asian countries.

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Keywords : Flexor tendon, Multistrand repair, Digital extension-flexion test, Early active motion