2018
DOI: 10.1016/j.aott.2018.06.003
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Results of 4-strand modified Kessler core suture and epitendinous interlocking suture followed by modified Kleinert protocol for flexor tendon repairs in Zone 2

Abstract: ObjectiveThere has been no consensus in literature for the ideal flexor tendon repair technique. The results of zone 2 flexor tendon lacerations repaired primarily by 4 strand Modified Kessler core suture and epitendinous interlocking suture technique followed by Modified Kleinert protocol were investigated.Methods128 fingers of 89 patients who had flexor tendon laceration in zone 2 built the working group. Functional outcomes were evaluated using the Strickland formula. A statistical analysis was made between… Show more

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Cited by 13 publications
(8 citation statements)
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“…In several studies, the small finger was omitted from analysis due to the small size (Marrero-Amadeo et al, 2011;Xu et al, 2013;Zhao et al, 2004). We find this problematic since small finger flexor tendons are commonly lacerated (Gunturk et al, 2018;Su et al, 2005).…”
Section: Discussionmentioning
confidence: 98%
“…In several studies, the small finger was omitted from analysis due to the small size (Marrero-Amadeo et al, 2011;Xu et al, 2013;Zhao et al, 2004). We find this problematic since small finger flexor tendons are commonly lacerated (Gunturk et al, 2018;Su et al, 2005).…”
Section: Discussionmentioning
confidence: 98%
“…Clinically, a lot of different suture techniques are used such as Lin locking, Kessler, Modified Kessler, Savage, Becker, Tajima, grasping, and epitendinous suture [ 36 , 60 ]. The following two are widely accepted: (i) the Modified Kessler suture utilizing 2 sutures [ 61 ] and (ii) the grasping suture [ 62 ] which uses knots located in the cross-section.…”
Section: Traditional Strategies For the Repair Of Flexor Tendon Injuriesmentioning
confidence: 99%
“…The outcomes from each type of repair are not reported individually but overall in zone 2, 95% of fingers had excellent-good functionality (53% and 42% respectively, Strickland-Glogovac criteria) [33]. More recently a 4-strand modified Kessler core suture (4–0 PDS) with an epitendinous locking suture (6-0 Nylon) technique has been described which achieved rupture rates of only 2.3% and excellent-good Strickland scores in 91.4% of fingers [34].…”
Section: Zone 2 Repairmentioning
confidence: 99%