THE PLASTIC SURGERY RESULT OF EXTENSOR TENDON INJURIES IN HAND
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Abstract
This study aims to describe the clinical characteristics and evaluate the treatment results of extensor tendon injuries in hand. The study was carried out on 42 patients with 50 fingers injured in the extensor tendon of the hand at Saint Paul General Hospital from August 2018 to May 2021. Results: The average age of patients is 38.1 with working age (18-60 years old) accounts for 92.9%. Man have a high incidence with 37/42 of case, up to 88.1%. Work-related accidents are the cause of 2/3 of the cases. The mechanism of cutting injury caused by sharp objects accounts for 88.1%. Index finger has the highest rate of injury with 18/50 of cases (36%) while the most common lesion is zone VI with 13/50 of cases (26%). Direct suture method was applied to 98% of cases with suturing technique varying by region of tendon injury, 1 case of wound with tendon gap was reconstructed by tendon grafting. Further results were assessed according to Miller2, good results accounted for 38/50 fingers (76%). Conclusion: The clinical characteristics of extensor tendon injuries of the hand are very diverse. Therefore, it is necessary to accurately classify the types of tendon injuries in term of providing effective tendon rehabilitation techniques. The technique of direct tendon suture is simple with high results of tendon recovery achievement.
Article Details
Keywords
hand extensor tendon injury, tendon suture, tendon graft
References
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