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Repair of flexor digitorum profundus avulsions including the palmar plate: a retrospective comparative study of 56 cases.
Fathy Sadek, Ahmed; Azmy, Mohamed M; Nady Saleh Elsaid, Ahmed; Zein, Asem M N; Yehya Hasan, Mohamed.
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  • Fathy Sadek A; Orthopaedic Surgery Department, Faculty of Medicine, Minia University, Minia, Egypt.
  • Azmy MM; Orthopaedic Surgery Department, Faculty of Medicine, Minia University, Minia, Egypt.
  • Nady Saleh Elsaid A; Orthopaedic Surgery Department, Faculty of Medicine, Minia University, Minia, Egypt.
  • Zein AMN; Orthopaedic Surgery Department, Faculty of Medicine, Minia University, Minia, Egypt.
  • Yehya Hasan M; Orthopaedic Surgery Department, Faculty of Medicine, Minia University, Minia, Egypt.
J Hand Surg Eur Vol ; 47(6): 633-638, 2022 06.
Article en En | MEDLINE | ID: mdl-35107344
We retrospectively reviewed 56 fingers with a type 1 flexor digitorum profundus avulsion (jersey finger) injury. Nineteen fingers were treated with a four-strand pull-out suture technique that did not include the distal palmar plate, and 37 were treated with a six-strand pull-out suture technique that included the distal palmar plate. An early active mobilization regimen was used. At follow-up (mean 13 and 14 months, respectively), total active interphalangeal joint motion was significantly better in the six-strand/palmar plate group, as were the results assessed with the Strickland-Glogovac grading system and patient satisfaction according to the Stark criteria. No repair ruptures occurred in this group versus two ruptures in the four-strand/no-palmar-plate group. We consider that the better results can be attributed to a stronger repair, which facilitated early active mobilization.Level of evidence: III.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de los Tendones / Placa Palmar / Traumatismos de los Dedos Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Hand Surg Eur Vol Año: 2022 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de los Tendones / Placa Palmar / Traumatismos de los Dedos Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: J Hand Surg Eur Vol Año: 2022 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido