The modalities of flexor tendon reconstruction of the hand correlated with the level of injury and etiologic factor
AIM: Successful flexor tendon reconstruction is inevitably connected with local tissue equillibrium and satisfactory joint mobility. The etiologic factors and levels of the flexor tendon injuries determine the selection of the available operative modalities. Postoperative physical therapy prevents contracture formations and has influence on the definitive postoperative outcome. METHODS: We have evaluated postoperativne results after flexor tendon repair in 116 cases during five-years period. We have used Microsoft Excel program and IBM statistics SPSSv 21 or 22. RESULTS: Noticable correlation between the type of etiologic factor and the modality of flexor tendon repair has been evaluated. The flexor tendon injuries caused by sharp objects (58.62%) had been treated mostly by primary repair (82.4%). Extensive destruction of tendon tissue caused by the other types of the etiologic agents have represented the indicaton for tenoplasty, which have been applied mainly in Zone II (40.4%), the most frequently zone of tendon injury in our research (40.52%), with primary and secondary repair CONCLUSION: There is a very clear correlation between the etiologic factor and the level of the flexor tendon injury with selection of the appropriate operative modality.