• J Hand Surg Eur Vol · May 2011

    Finger zone II flexor tendon repair in children (5-10 years of age) using three 'figure of eight' sutures followed by immediate active mobilization.

    • Mohammad M Al-Qattan.
    • Department of Surgery, King Saud University, Riyadh, Saudi Arabia. moqattan@hotmail.com
    • J Hand Surg Eur Vol. 2011 May 1; 36 (4): 291-6.

    AbstractFor children between 5-10 years of age with zone II flexor tendon lacerations, the literature recommends a modified early mobilization programme under the supervision of a hand therapist but the fingers are immobilized between physiotherapy sessions. We report on a series of children between 5-10 years of age with flexor tendon lacerations (n = 54 fingers) in zone II repaired with a six-strand core suture (three separate 'figure of eight' sutures) and actively mobilized immediately after surgery similar to adult rehabilitation programmes with no immobilization between the physiotherapy sessions. The average follow-up for the study group was 13 months (range 7-25 months). There were no ruptures. The final outcome was excellent in 46 fingers (85%) and good in the remaining eight fingers (15%) using the Strickland-Glogovac criteria.

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