Clinical outcomes of early active mobilization following flexor tendon repair using the six-strand technique: Short- and long-term evaluations

Journal of Hand Surgery: European Volume

Volumn 40, Issue 3, 2015, Pages 250-258

  Moriya, K ^a   Yoshizu, T ^a   Maki, Y ^a   Tsubokawa, N ^a   Narisawa, H ^a   Endo, N ^b  

^a Niigata Hand Surgery Foundation   (Japan)

^b NIIGATA UNIVERSITY GRADUATE SCHOOL OF MEDICAL AND DENTAL SCIENCES   (Japan)

Author keywords

Early active mobilization; flexor tendon injury; long term outcomes; repair; six strand technique

Indexed keywords

ADOLESCENT; ADULT; AGED; CHILD; CLINICAL COMPETENCE; FEMALE; FINGER INJURIES; HUMAN; MALE; MANIPULATIVE MEDICINE; MIDDLE AGED; ORTHOPEDIC SURGERY; SUTURING METHOD; TENDON INJURIES; TREATMENT OUTCOME; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CLINICAL COMPETENCE; FEMALE; FINGER INJURIES; HUMANS; MALE; MIDDLE AGED; MUSCULOSKELETAL MANIPULATIONS; ORTHOPEDIC PROCEDURES; SUTURE TECHNIQUES; TENDON INJURIES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84923446167     PISSN: 17531934     EISSN: 20436289     Source Type: Journal    
DOI: 10.1177/1753193414551682     Document Type: Article

References (34)

1. Amadio PC, Hunter JM, Jaeger SH, Wehbe MA, Schneider LH. The effect of vincular injury on the results of flexor tendon surgery in zone 2. J Hand Surg Am. 1985 ; 10: 626-32
2. Becker H, Orak F, Duponselle E. Early active motion following a beveled technique of flexor tendon repair: report on fifty cases. J Hand Surg Am. 1979 ; 4: 454-60
3. Brandsma JW, Ottenhoff-De Jonge MW. Flexor digitorum superficialis tendon transfer for intrinsic replacement. Long-term results and the effect on donor fingers. J Hand Surg Br. 1992 ; 17: 625-8
4. Cullen KW, Tolhurst P, Lang D, Page RE. Flexor tendon repair in zone 2 followed by controlled active mobilisation. J Hand Surg Br. 1989 ; 14: 392-5
5. Duran RJ, Houser RG. Controlled passive motion following flexor tendon repair in zones 2 and 3. American Academy of Orthopaedic Surgeons Symposium on tendon surgery in the hand ; St. Louis, CV Mosby ;. 105.
6. Dy CJ, Hernandez-Soria A, Ma Y, Roberts TR, Daluiski A. Complications after flexor tendon repair: a systematic review and meta-analysis. J Hand Surg Am. 2012 ; 37: 543-51
7. Ejeskär A, Örtengren R. Isolated finger flexion force - a methodological study. Hand. 1981 ; 13: 223-30
8. Elliot D, Harris SB. The assessment of flexor tendon function after primary tendon repair. Hand Clin. 2003 ; 19: 495-503
9. Elliot D, Giesen T. Avoidance of unfavourable results following primary flexor tendon surgery. Indian J Plast Surg. 2013 ; 46: 312-24
10. Gault DT. A review of repaired flexor tendons. J Hand Surg Br. 1987 ; 12: 321-5
11. Hwang MD, Pettrone S, Trumble TE. Work of flexion related to different suture materials after flexor digitorum profundus and flexor digitorum superficialis tendon repair in zone II: a biomechanical study. J Hand Surg Am. 2009 ; 34: 700-4
12. Imaeda T, Toh S, Wada T, et al. Validation of the Japanese Society for Surgery of the Hand Version of the Quick Disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire. J Orthop Sci. 2006 ; 11: 248-53
13. Jones P, Alexander CJ, Stewart J, Lynskey N. Idiopathic osteoarthritis and contracture: causal implications. Ann Rheum Dis. 2005 ; 64: 226-8
14. Kitsis CK, Wade PJ, Krikler SJ, Parsons NK, Nicholls LK. Controlled active motion following primary flexor tendon repair: a prospective study over 9 years. J Hand Surg Br. 1998 ; 23: 344-9
15. Kleinert HE, Kutz JE, Atasoy E, Stormo A. Primary repair of flexor tendons. Orthop Clin North Am. 1973 ; 4: 865-76
16. Kusano N, Yoshizu T, Maki Y. Experimental study of two new flexor tendon suture techniques for postoperative early active flexion exercises. J Hand Surg Br. 1999 ; 24: 152-6
17. Moiemen NS, Elliot D. Primary flexor tendon repair in zone 1. J Hand Surg Br. 2000 ; 25: 78-84
18. Orkar KS, Watts C, Iwuagwu FC. A comparative analysis of the outcome of flexor tendon repair in the index and little fingers: does the little finger fare worse?. J Hand Surg Eur. 2012 ; 37: 20-6
19. Osada D, Fujita S, Tamai K, Yamaguchi T, Iwamoto A, Saotome K. Flexor tendon repair in zone II with 6-strand techniques and early active mobilization. J Hand Surg Am. 2006 ; 31: 987-92
20. Riaz M, Hill C, Khan K, Small JO. Long term outcome of early active mobilization following flexor tendon repair in zone 2. J Hand Surg Br. 1999 ; 24: 157-60
21. Savage R, Risitano G. Flexor tendon repair using a "six strand" method of repair and early active mobilisation. J Hand Surg Br. 1989 ; 14: 396-9
22. Silfverskiöld KL, May EJ. Flexor tendon repair in zone II with a new suture technique and an early mobilization program combining passive and active flexion. J Hand Surg Am. 1994 ; 19: 53-60
23. Silfverskiöld KL, May EJ, Törnvall AH. Flexor digitorum profundus tendon excursions during controlled motion after flexor tendon repair in zone II: a prospective clinical study. J Hand Surg Am. 1992 ; 17: 122-31
24. Simmons BP, De La, Caffinière JY The hand. Tubiana R, ed. Philadelphia, WB Saunders ; 1981: 377-88.
25. Strickland JW, Glogovac SV. Digital function following flexor tendon repair in Zone II: A comparison of immobilization and controlled passive motion techniques. J Hand Surg Am. 1980 ; 5: 537-43
26. Strickland JW, Gettle KH Tendon and nerve surgery in the hand: a third decade. Hunter JM Schneider LH Mackin EJ, ed. St. Louis, Mosby: ; 353-61.
27. Tang JB. Clinical outcomes associated with flexor tendon repair. Hand Clin. 2005 ; 21: 199-210
28. Tang JB Tendon surgery of the hand. Tang JB Amadio PC Guimberteau JC Chang J, ed. Philadelphia, Elsevier Saunders ; 81-7.
29. Tang JB Plastic surgery. 3 rd ed.London, Elsevier Saunders, 2013a, Vol. 6: 178-209. Chang J, ed. London, Elsevier Saunders: ; 2013a: 178-209.
30. Tang JB Hand Clin ; 2013b: 251-9.
31. Tang JB, Chang J, Elliot D, Lalonde DH, Sandow M, Vögelin E. IFSSH flexor tendon committee report 2014: from the IFSSH flexor tendon committee (chairman: Jin Bo Tang). J Hand Surg Eur. 2014 ; 39: 107-15
32. Tang JB, Shi D, Gu YQ, Chen JC, Zhou B. Double and multiple looped suture tendon repair. J Hand Surg Br. 1994 ; 19: 699-703
33. Yoshizu T. Immediate mobilization following flexor tendon repair (in Japanese). J Musculoskelet Syst. 1996 ; 9: 881-90
34. Zhao C, Amadio PC, Zobitz ME, An KN. Resection of the flexor digitorum superficialis reduces gliding resistance after zone II flexor digitorum profundus repair in vitro. J Hand Surg Am. 2002 ; 27: 316-21