Study of the Repair of Flexor Tendons of the Hand

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Status: Enrolling

Conditions: Tendon Injury - Hand

Treatments: Procedure: Repair: suture, reinsertion, tendon graft, surgery in two stages (Hunter, Paneva Holevich)

Study type: Observational

Funder types: Other

Identifiers

NCT04962490

IIBSP-TFM-2021-34

Details and patient eligibility

About

Injury to the flexor tendons of the fingers of the hand is a frequent and disabling injury, since it produces tendon retraction and functional limitation. A prompt and adequate diagnosis and treatment is required to minimize the risk of tendon retraction, re-rupture, reoperation rate, and the presence of tendon adhesions that limit the range of motion. On occasions, the limitation of the articular balance of the MCP, PIP and DIP joints generates a loss of strength and difficult in completely closing the fingers to the palm of the hand.

Full description

To retrospectively evaluate the results obtained with the suture/ reinsertion of the flexor tendons of the hand, in the acute, subacute and chronic phases, treated surgically in our center between the years 2000 and 2021.

To evaluate the clinical and functional results obtained in patients who underwent surgery for a section of the flexor tendons, superficial, profundus or both, preferably in zone II of the hand. The investigators evaluate the epidemiological and prognostic factors associated with the injury, in the different phases and anatomical zones.

The researchers evaluate the functional results:

Pain at rest with movements: Assessed using the visual analogue pain scale (VAS Scale from 0 to 10).

Joint balance / Range of motion of the MCP, PIP, DIP joints. Evaluation by digital goniometer. Evaluation using Buck-Gramcko (1976) and using the Tang (2007) criteria.

Grip strength. Evaluation using a Jamar dynamometer. Functional rating scales: QuickDASH Score Reoperation rate: 1) For re-rupture / re-suture, 2) For infection, 3) For excision of tendon adhesions: arthrolysis and tendolysis, 4) For tendon transfer 5) For tendon graft placement.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with section of the superficial and / or profundus flexor tendons in the hand.
• Patients with section of the flexor tendon in the thumb
• Tendon injury in any anatomical area
• In the acute, subacute or chronic phases of the disease
• Associated or not with fractures
• Associated or not with arterial or nerve injuries

Exclusion criteria

• Previous bone disease
• History of tendon injury to the extensor or flexor tendons
• Joint stiffness prior to tendon section
• Rheumatic arthropathy
• History of operations in the same area.