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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Factors influencing the results of flexor tendon repair

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  • presenting/speaker Anna Kiseleva - Russian S.R.I. of T.O. named after R.R. Vreden, Saint Petersburg, Russia
  • Dmitry Nakonechny - Russian S.R.I. of T.O. named after R.R. Vreden, Saint Petersburg, Russia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1284

doi: 10.3205/19ifssh0278, urn:nbn:de:0183-19ifssh02784

Published: February 6, 2020

© 2020 Kiseleva et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Today, flexor tendon injury is a relevant issue. At the end of the 20th century, a variety of different types of suture tendons and corresponding protocols of postoperative management were introduced, which were subject to a repeated comparison among themselves. However, periodical literature did not address the issue of the effect of the organizational factors on the outcome of the treatment.

The aim of the study was to evaluate the medium-term results of the treatment while providing specialized care to patients with injuries flexor tendons of the fingers. To determine the factors which have a significant impact on the clinical outcomes of this category of patients.

Methods: Materials of the case histories of the patients who received emergency medical care at the hospital RNIITO named after R.R. Vreden during the years 2013-2015 were analysed in the course of the study. The patients were interviewed by phone or summoned for a follow-up examination, while the quickDASH questionnaire was filled in, the amplitude of the finger joint movements was clinically evaluated and the findings were characterized according to the Strickland and Kleinert scales. Statistical treatment of the dependence of the treatment results on organizational factors, clinical factors, features of the surgical team was carried out.

Results and Conclusions: In the course of the analysis, it was found that damage to the tendons of the finger flexors occurs most often among men (77%) of working age (M±SD 35.18 ± 12.3 years). Damage to the flexor tendons on one finger predominates (81%), combined with damage to the finger nerve (32%). The treatment results for the timeframe from 1 to 3 years had been evaluated according to the Strickland and Kleinert scales, and were excellent in slightly more than half of the cases. A significant influence on the result of the treatment was provided by the presence of alcohol intoxication of the patients at the moment of their arrival. The statistically significant dependence of the treatment results on the time of the operation and the presence of a narrow specialization of the surgeon, and, to a greater extent, the timing of the beginning of rehabilitation and the conditions for its undergoing were revealed.