COMPARISON OF OUTCOME OF 1- AND 2-KNOT, 4-STRAND, DOUBLE-MODIFIED KESSLER FLEXOR TENDON REPAIR WITH EARLY ACTIVE MOBILIZATION PROTOCOL IN PATIENTS WITH FLEXOR TENDON LACERATIONS OF HAND
AbstractBackground: Hand is unique for the dexterity of its function and flexor tendons have most important function in hand. Its injury is a challenging treatment. Purpose of this study is to compare the success of 1- and 2-knot, flexor tendon repair (good to excellent results) with early active mobilization in terms of total active motion (TAM) of affected hand postoperatively. Methods: Hundred patients with age range of 5–70 years of age presenting with flexor tendon lacerations of hand were included in the study. Subjects were randomly divided into Group A, who underwent flexor tendon repair using 4 strands of double modified Kessler repair with 1 knot and Group B, in which 4 strand double modified Kessler repair with 2 knot technique was used. All patients followed early active motion protocol started in first 48 hours. They were followed at 3, 6 and 8 weeks after surgery for TAM. Data was entered and analysed in SPSS ver: 21.0. Frequency and percentages were calculated for outcome of procedure. Results: In group A 89.8% (44) of patients had good to excellent results in terms of total active motion (TAM) as compared with 90.9% (40) in group B using early active mobilization protocol. Conclusion: The study concluded that that four strand double modified flexor tendon repair using either 1 or 2 knot technique are excellent choices of repair with early active mobilization protocols.Keywords: Flexor tendon injuries; 4 strand repair; Total active motion; Early active mobilization
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