Authors :
ABDULJABAR Jassim Mohsen Al-Asadi
Volume/Issue :
Volume 9 - 2024, Issue 3 - March
Google Scholar :
https://tinyurl.com/4cdmn7p4
Scribd :
https://tinyurl.com/bdhut2a9
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAR1092
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Fifty three patients (97 fingers) with extensor
tendon injures in the metacarpal and wrist zones were
included in this prospective study, with average age of 28
years. Metacarpal zone was involved in 70% of cases and
extensor tendon was injured in 82 fingers and 15 thumbs,
62% of the patients were treated surgically within 7 days
of injury. In general, mattress suturing technique was used
in 65 digits (67%) Kessler in 21 (22%) and Cruciate11
(11%) with splinting range between 4 to 6 weeks. After
average of 5 months follow up, the results scored
according to millers classifications; was excellent in thirty
one fingers ( 32%), good in 49( 50.5%), fair in 14 (14.4)
and poor in 3( 3.1%).In thumb, in 60% the Cruciate
technique was used and Kessler in 33% and the results
were excellent to good in 80% . In the other fingers,
Mattress technique of suturing was used in 78%, and the
Cruciate in 2.5%. 25 fingers (30.5%) were classified as
excellent,43(52.5%) good, and unsatisfactory in
14(17%).In conclusion, we found that Mattress suture
technique is simpler and quicker, it can be used in the
repair of multiple small flat extensor tendons in multi-
injured fingers. And augmented 2-strand Kessler and 4-
strand cruciate techniques are stronger extensor tendon
repair techniques that allows early and safely mobilization,
in one or two injured fingers with tubular shape or thicker
tendons.
Fifty three patients (97 fingers) with extensor
tendon injures in the metacarpal and wrist zones were
included in this prospective study, with average age of 28
years. Metacarpal zone was involved in 70% of cases and
extensor tendon was injured in 82 fingers and 15 thumbs,
62% of the patients were treated surgically within 7 days
of injury. In general, mattress suturing technique was used
in 65 digits (67%) Kessler in 21 (22%) and Cruciate11
(11%) with splinting range between 4 to 6 weeks. After
average of 5 months follow up, the results scored
according to millers classifications; was excellent in thirty
one fingers ( 32%), good in 49( 50.5%), fair in 14 (14.4)
and poor in 3( 3.1%).In thumb, in 60% the Cruciate
technique was used and Kessler in 33% and the results
were excellent to good in 80% . In the other fingers,
Mattress technique of suturing was used in 78%, and the
Cruciate in 2.5%. 25 fingers (30.5%) were classified as
excellent,43(52.5%) good, and unsatisfactory in
14(17%).In conclusion, we found that Mattress suture
technique is simpler and quicker, it can be used in the
repair of multiple small flat extensor tendons in multi-
injured fingers. And augmented 2-strand Kessler and 4-
strand cruciate techniques are stronger extensor tendon
repair techniques that allows early and safely mobilization,
in one or two injured fingers with tubular shape or thicker
tendons.
