Tendon Repair and Outcome Audit

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Author(s): 1.Ahmad Faraz Bhatti,2 Aatif Mehmood,3 Denial Jordan,4 David Haughton,5 Fahmy S Fahmy

Received: 17/12/2019 | Published: 16/09/2020 | Pages: 51-56 |

Tendon repair is one of the commonest procedures performed in the hand surgery. This repair is associated with two major complications of tendon rupture and tendon adhesions. We have reviewed the results of our technique of tendon repair and compared the results with international standards. Methods: This is a retrospective review of prospectively maintained data at department of Plastic Surgery at Countess of Chester Hospital UK, from 1st June 2010 to 1st June 2011. All patients who underwent tendon repairs were included. We devised a proforma to standardize the information collection. Parameters studied included mode of trauma, zone of injury, average number of tendons involved, and rate of complication of tendon rupture and stiffness. Results: A total of 108 procedures were done for tendon injuries, of which 56% were flexor tendons and 44% were extensor tendons. Glass injuries account for the majority of cases, both for flexors and extensors. Average number of tendons involved per injury was 2 for flexors and 1.5 for extensors. The most commonly used technique of repair was 2-strand modified Kessler with continuous epitendinous suture. We observed a 5% rate of rupture and 6.5% of stiffness for flexor tendons and 4% of rupture and 2% of stiffness rate of extensor tendons.
Conclusion: 2 strands modified Kessler repair with 4/0 Proline in small size tendons and 3/0 Proline in large size tendons with 6/0 Proline over and over continuous epitendinous suture is a good technique for tendon repair.