Forty-three children with 46 lacerations of the flexor digitorum profundus tendon were evaluated at a mean of five and a half years (range three to 10) after tendon repair. Postoperatively, 27 digits were treated with early controlled mobilisation as described by Kleinert and 19 digits were immobilised in plaster. Thirty-one digits were primarily repaired within 24 hours, and in 15 digits repair was delayed. The return of total active motion (TAM) in the interphalangeal joints was evaluated with the Strickland formula, and the mean was 77%. TAM correlated with the age of the child at the time of injury. Variables such as postoperative regimen, concurrent injury to the superficial tendon or digital nerve, delayed tendon repair, localisation of injury in the fibro-osseous canal, and type of trauma, had no significant effect on the final result.
One hundred and fifty patients were examined 8-10 years after a fracture of the lower limb to evaluate whether the frequency of deep venous insufficiency (DVI) was influenced by the type of fracture. The evaluation included clinical examination, subjective complaints, venous pressure, plethysmography and doppler sonography. Symptoms and signs of DVI were more common in the fractured than in the uninjured limbs, while objectively diagnosed DVI did not differ between the groups. Only minor differences were present in the development of DVI between limbs with various types of fracture (hip fractures were not included in the study). High age and incompetence of the popliteal valves were more important in the development of DVI than the earlier fracture. The frequency of objectively measured DVI in the fractured limbs was 35 per cent and in the uninjured limbs 30 per cent.
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