KẾT QUẢ PHẪU THUẬT KHÂU NỐI THÌ ĐẦU VẾT THƯƠNG GÂN GẤP VÙNG V CÁC NGÓN TAY DÀI TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: (1) To analyze and describe the characteristics of flexor tendon injuries in zone V of the long fingers among the study patients; (2) To evaluate the surgical outcomes of primary repair of flexor tendon injuries in zone V of the long fingers at Viet Duc Hospital. Subjects and methods: A retrospective and prospective longitudinal study design. A total of 42 patients diagnosed with flexor tendon injuries in zone V of the long fingers, based on clinical signs, underwent primary surgical repair at Viet Duc Hospital, from December 2024 to July 2025. Results: The mean age of patients was 40.28 years, with a predominance of males (92.85%), mostly in the working age group. Common symptoms included injury to the dominant hand (54.77%). The majority of tendon injuries were sharp and clean-cut (59.52%). Most patients underwent surgery within 12 hours of the accident (85.71%), with an average hospital stay of 3 days. Postoperatively, all patients were instructed in rehabilitation exercises. Conclusion: The modified two-strand core Kessler repair technique showed favorable treatment outcomes, with nearly half of the patients achieving good results. Treatment outcomes mainly depended on the characteristics of the injury, number of injured tendons, and the rehabilitation exercises.