Factors That Influence the Outcome of Zone I and Zone II Flexor Tendon Repairs in Children

Early mobilization compared with immobilization after repair of a flexor tendon injury in children: A retrospective long time follow-up

“…We also found more digital nerve injuries in the early mobilization group who might have a worse prognosis [14]. However, there were also more cut injuries and that may indicate a more favourable injury.…”

“…Functionally, there is no difference among children in the active range of finger motion between 2-and 4-strand core sutures [10]. A good functional outcome after surgery [11][12][13] for isolated flexor tendon injuries in children can be achieved, but the results are worse if associated nerve injuries are present [14]. Furthermore, there seems to be no benefit of early mobilization in children compared to immobilization up to 4 weeks, but beyond that an increasing risk of poor results has been reported [15].…”

Flexor Tendon Injuries in Pediatric Patients

“…1,3,4,6,7 Four-strand core sutures have been used in flexor digitorum profundus repairs in zone 2 injuries, depending on the size of the tendon. 5 In a combined study of 3 hand surgery practices, 6 no difference in outcomes after different tendon repair technique or suture material was observed.…”

Flexor tendon injuries in children: Rehabilitative options and confounding factors

“…Outcomes of immobilization following flexor tendon repair in children have been published by Elhassan et al 15 Using a retrospective comparison of children who had been treated with immobilization and those progressed through early passive mobilization, no significant differences were found in total active motion. Final outcomes of children in both groups included good to excellent results; zone I injuries and those without concomitant nerve repairs were noted as superior.…”