Hand Flexor Tendon Repair

Aletto, Cristian; Aicale, Rocco; Oliva, Francesco; Maffulli, Nicola

doi:10.1016/j.hcl.2022.12.001

Cited by 3 publications

(3 citation statements)

References 48 publications

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“… 23 , 24 , 25 Based on the concept of minimally invasive technology, clinicians use micro‐repair suturing surgery for treatment, which can reduce the wound area at the injured finger and improve the tendon tissue repair effect. 26 , 27 , 28 However, clinical practice research confirms that during the postoperative recovery period, if nursing interventions are not strengthened, and preventive measures against complications and tendon rehabilitation exercises are not well done, it will lead to infection, oedema, adhesion and rupture at the site of the patient's finger tendon. 29 Not only does this prolong the recovery time for finger tendon injuries, but also it increases the level of pain, reduces compliance with rehabilitative nursing and thus affects prognostic outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Common types of hand tendon injuries are primarily finger tendon injuries, 22 and the tendons in the fingers mainly include the flexor tendons on the palmar side and the extensor tendons on the dorsal side 23–25 . Based on the concept of minimally invasive technology, clinicians use micro‐repair suturing surgery for treatment, which can reduce the wound area at the injured finger and improve the tendon tissue repair effect 26–28 . However, clinical practice research confirms that during the postoperative recovery period, if nursing interventions are not strengthened, and preventive measures against complications and tendon rehabilitation exercises are not well done, it will lead to infection, oedema, adhesion and rupture at the site of the patient's finger tendon 29 .…”

Section: Discussionmentioning

confidence: 99%

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Effects of evidence‐based nursing care interventions on wound pain and wound complications following surgery for finger tendon injury

Zhang,

Wang,

Pan

et al. 2024

International Wound Journal

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We conducted this study aimed to examine the impact of evidence‐based nursing interventions on postoperative wound pain and complications after surgery for finger tendon injury. A total of 86 patients treated for finger tendon injuries at our hospital from January 2021 to October 2023 were selected and randomly divided into an experimental group and a control group. The control group received conventional nursing care, while the experimental group received evidence‐based nursing interventions. The study compared the postoperative wound pain intensity, incidence of complications and patient satisfaction with nursing care between the two groups. The analysis revealed that compared with conventional care, evidence‐based nursing interventions significantly reduced the level of wound pain (p = 0.034) and the incidence of complications (4.65% vs. 18.60%, p = 0.043). It also increased patient satisfaction with the nursing care (97.67% vs. 83.72%, p = 0.026). The study indicates that the application of evidence‐based nursing interventions for patients with finger tendon injuries can reduce postoperative wound pain, decrease the incidence of complications and enhance patient satisfaction with nursing care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of evidence‐based nursing care interventions on wound pain and wound complications following surgery for finger tendon injury

Zhang,

Wang,

Pan

et al. 2024

International Wound Journal

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“…A barrier that's compatible with biological systems may minimize adhesion formation around the mended tendon, while still allowing for proper nutrition and healing [ 24 ]. Therefore, the collagen sheet (Genta-Foil Resorb®) we used in our study was biocompatible absorbable equine collagen, which was previously used in pediatric nail bed injuries [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Encircling tendon repair site with collagen sheet in flexor zone 2: retrospective study

Yaşar

2023

J Orthop Surg Res

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Background Peritendinous adhesion is the most common complication of tendon repairs in the hand and often requires surgical intervention, resulting in increased labor loss and increased treatment costs. Many agents used to reduce tendon adhesion in animal models, however these agents have not entered clinical use. This study is the first-ever clinical study that evaluates encircling tendon repair site with collagen sheet as an anti-adhesion barrier. Methods Between December 2014 and January 2020, 156 patients included in this study, with clean cut isolated flexor digitorum profundus (FDP) tendon injury in flexor tendon zone 2. All tendons repaired with modified double Kessler technique. In 76 patients, tendon repair site encircled with collagen sheet. 80 patients were randomly selected from our clinical records and functional results are compared with Strickland’s total active motion grading system. Results The mean total range of motion was 79% in the control group and 81% in the collagen sheet group, and there was no statistically significant difference between the two groups (Z: − 1.393, p = 0.164). In the control group, very good and good repair according to Strikland classification was 65/80 (81%). In the collagen sheet group, it was 62/76 (82%), respectively. There was statistically significant difference between 5 FDP TAM measurements between collagen sheet and control group (t(35) = 0.29, p = 0.016, p < 0.05). The mean TAM of the 5 FDP tendons in the collagen sheet group: 83.8 (SD: 8.2) in the and 76.1 (SD: 9.5) in the control group. Conclusions For the first time in the literature, functional results of Zone 2 flexor tendon repair using collagen sheets in patients with clean cut tendon injuries reported. However, there were no statistical difference about total active motion between control and collagen sheet group, 5th FDS tendon repairs encircled with collagen sheets had better outcomes. Prospective studies in patient groups with high adhesion risk are recommended.

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A coupled electro-mechanical approach for early diagnostic of carpal tunnel syndrome

Peshin

Karakulova

Kuchumov

2023

Preprint

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Carpal tunnel syndrome (CTS) is a pathology affecting hand function caused by median nerve overload. Numbness in the fingers, a loss of sensory and motor function in the hand, and pain are all symptoms of carpal tunnel syndrome. The lack of numerical data about the median nerve mechanical strain inside the carpal tunnel is the main disadvantage of current clinical approaches employed in carpal syndrome diagnostics. Moreover, application of each diagnostic method alone often leads to misdiagnosis. We proposed a combined approach including hand motion capture, finite element modelling (FEM), and electromechanical simulations to evaluate median nerve compression and find a correlation with hand mobility. The hand motion capture provided the boundary conditions for FEM. After that, FEM simulations of finger flexion and hand flexion / extension were performed. Further, FEM results were put in the electrical model of nerve conduction based on the Hodgkin-Huxley model and extended cable equation. It was exhibited median nerve conduction reduced significantly throughout the flexion and extension of the hand that compared to finger flexion. During finger flexion and hand flexion and extension, the load distribution over each of nine finger flexor tendons was evaluated. The tendons of the index finger were found to have the highest Mises stress values. It was found how tendon and connective tissue contact types affected carpal tunnel pressure. The difference between the contact types was 31.7% for hand extension and 59.9% for hand flexion. The developed approach has the potential to become an alternative diagnostic method for CTS at early stages. Additionally, it can be employed as non-invasive procedure for evaluation of carpal nerve stress.

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Hand Flexor Tendon Repair

Cited by 3 publications

References 48 publications

Effects of evidence‐based nursing care interventions on wound pain and wound complications following surgery for finger tendon injury

Effects of evidence‐based nursing care interventions on wound pain and wound complications following surgery for finger tendon injury

Encircling tendon repair site with collagen sheet in flexor zone 2: retrospective study

A coupled electro-mechanical approach for early diagnostic of carpal tunnel syndrome

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