A study of surgical repair and outcome of tendon injury in hand
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 9
Abstract
Introduction: Flexor tendon injuries were already treated in antiquity by Hippocrates, Galien and Avicenne. Since the Renaissance, other surgeons have attempted to repair flexor tendon injuries, but without success due to problems related to unsuitable materials and ignorance of the basic rules of asepsis and the absence of antiseptics until the second half of the 19th century1. In 1886 Peyrot reported a case “transplantation in man of the tendon of a dog” to replace the flexor tendon of a middle finger” which has been destroyed”; this resulted in “good healing with partial functional recovery”. Aims and Objective: To Study the Surgical repair and outcome of Tendon injury in hand Methodology: Prospective study, All patients of tendon injuries of hand treated at Assam Medical College and Hospital, Dibrugarh from 1st August 2014-31st July 2015, either as outpatient or admitted patients.Delayed primary repair was performed in most of the patients. Other operative procedures followed were a primary repair, secondary repair, end to end repair, tendon graft and tendon repair graft with pulley reconstruction. Results: For flexor tendons, 50 % fingers showed excellent results whereas 28.57% showed good results, 14.28% showed fair and the same number showed poor results. On comparing the results zone-wise, it was observed that zone II results were excellent in 42.85% cases, good in 28.57% cases, poor in 14.28% cases and fair in equal number, whereas in zones III and IV, 60–70% excellent to good results were seen. Excellent to good results were seen in 100% cases in zone V. Conclusion: In the postoperative course of tendon injuries, the principle of early passive movement is important to trigger an “intrinsic” tendon healing to guarantee a good outcome
Authors and Affiliations
Sajeed Ahmed, Dhrubajyoti Choudhury, Utpal Kr. Bordoloi
Keywords
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