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Abstract

Lacerated flexor digitorum profundus (FDP) tendons in zone 1 and distal zone 2 were reconstructed in 73 consecutive cases using the motion-stable Mantero technique during a 7-year period. Sixty-five (89%) of these patients were re-examined an average of 40 (26–82) months postoperatively. According to Moiemen and Elliot (2000) assessment by Strickland's original and modified criteria and in addition the Buck-Gramcko score showed excellent and good results of 54%, 72% and 91% respectively. In contrast, examination of the results measuring the range of movement of the distal interphalangeal (DIP) joint alone provided a more realistic assessment in DIP joint function after Mantero technique with excellent and good results of only 38%.

Keywords

flexor tendon repair zone 1 distal zone 2 Mantero

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References

Baer

Jungwirth

Wulle

Schaller

. The Mantero technique for flexor tendon repair – an alternative?. Handchir Mikrochir Plast Chir. 2003, 35: 363–7.

Bainbridge

Robertson

Gillies

Elliot

. A comparison of post-operative mobilization of flexor tendon repairs with ‘passive flexion–active extension’ and ‘controlled active motion’ techniques. J Hand Surg Br. 1994, 19: 517–21.

Braun

Foucher

Buch Jaeger

Sammut

. Réparation du fléchisseur profond et du long fléchisseur du pouce par la «fixation en rappel». Résultats d`une série de soixante-dix-sept cas. Annales de Chirurgie de la Main. 1991, 10: 13–21.

Brunelli

. La suture tendineuse avec lancet de nylon appuyé sans pull out. Acta Orthop Belg. 1958, 24: 178–9.

Buck-Gramcko

Dietrich

Gögge

. Bewertungskriterien bei Nachuntersuchungen von Beugesehnenwiederherstellungen. Handchirurgie. 1976, 8: 65–9.

Elliot

Moiemen

Flemming

Harris

Foster

. The rupture rate of acute flexor tendon repairs mobilized by the controlled active motion regimen. J Hand Surg Br. 1994, 19: 607–12.

Evans

. A study of the zone 1 flexor tendon injury and implications for treatment. J Hand Ther. 1990, 3: 133–48.

Gerbino

Saldana

Westerbeck

Schacherere

. Complications experienced in the rehabilitation of zone 1 flexor tendon injuries with dynamic splinting. J Hand Surg Am. 1991, 16: 680–6.

Guinard

Montanier

Thomas

Corcella

Moutet

. The Mantero flexor tendon repair in zone 1. J Hand Surg Br. 1999, 24: 148–51.

10.

Hart

Watson

. The Mantero flexor tendon repair in zone 1. J Hand Surg Br. 1999, 24: 755–7.

11.

Mantero

Bertolotti

Badoino

. Il pull-out in ‘no man's land’ e al canale digitale nelle lesioni dei flessori (metodo personale). Rivista di Chirurgia della Mano. 1973, 11: 119–30.

12.

Moiemen

Elliot

. Primary flexor tendon repair in zone 1. J Hand Surg Br. 2000, 25: 78–84.

13.

Olivier

Assenmacher

Kendoff

Schmidt

Towfigh

Schmitt-Neuerburg

. Results of flexor tendon repair of the hand by the motion-stable wire suture by Towfigh. Arch Orthop Trauma Surg. 2001, 121: 212–18.

14.

Sood

Elliot

. A new technique of attachment of flexor tendons to the distal phalanx without a button tie-over. J Hand Surg Br. 1996, 21(5): 629–32.

15.

Strickland

Glogovac

. Digital function following flexor tendon repair in zone 2: a comparison of immobilization and controlled passive motion techniques. J Hand Surg Am. 1980, 5: 537–43.

16.

Tang

. Flexor tendon repair in Zone 2C. J Hand Surg Br. 1994, 19: 72–5.

17.

Wulle

. Results of follow-up examinations of treatment of Mantero flexor tendon injury in zone 1 and distal zone 2. Handchir Mikrochir Plast Chir. 1993, 25: 276–9.

Motion-stable flexor tendon repair with the Mantero technique in the distal part of the fingers

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