• Arch Orthop Trauma Surg · Jan 2001

    Results of flexor tendon repair of the hand by the motion-stable wire suture by Towfigh.

    • L C Olivier, S Assenmacher, D Kendoff, G Schmidt, H Towfigh, and K P Schmit-Neuerburg.
    • Section of Hand Surgery, Department of Traumatology, University Clinic Essen, Hufelandstrasse 55, 45122 Essen, Germany. lucien.olivier@uni.essen.de
    • Arch Orthop Trauma Surg. 2001 Jan 1; 121 (4): 212-8.

    AbstractWe compared the motion-stable wire suture by Towfigh (MSWST) with a modified Kessler suture (MKS) by following up flexor tendon repairs (MSWST, n = 21/39 digits; MKS, n = 20/31 digits). For MSWST we found 31 (79.5%) "excellent", 3 (7.7%) "good", and 5 (12.8%) "fair" results, when using the scoring system of Buck-Gramcko. In 3 (14.3%) patients the MSWST had to be removed owing to local irritation. In a further 3 (14.3%) patients, this was done when secondary tenolysis was necessary. The latter was also performed in 4 (20.0%) patients in whom the MKS was used. Here we found 23 (74.2%) excellent, 7 (22.6%) good, and 1 (3.2%) fair result. The statistical evaluation of the data concerning the patients' age, sex, the involved zone, the side, and the functional outcome did not reveal a significant difference (P < 0.05) between both groups and the chosen type of repair. The results of MSWST and MKS are similar, but MSWST allows early motion therapy without a splint or rubber-band protection.

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