Closed avulsion of flexor digitorum profundus of the ring finger: Does the surgical technique really change the outcome?

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-03-08 DOI:10.1016/j.jcot.2025.102956

Andrea Poggetti, Chiara Suardi, Irene Felici, Sandra Pfanner

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引用次数: 0

Abstract

Background/aims

Flexor digitorum profundus avulsion injuries occurs mainly in sport injuries, also known as “jersey fingers”. Is important to surgically approach those lesions with correct timing. Different surgical procedures exist. Complications can occur, but there is no consensus of which type of surgical technique can be superior to others. The aim of this study was to observe three different groups affected by a Type II sec. Leddy and Packer avulsion, managed by three different methods of fixation: pull-out suture through the fingertip without passing the nail bed, bone anchor, and a combination of those. The objective was to analyse whether one of these methods was superior to the others in terms of final TAM and whether one of them was more suitable than the others for the use of the early rehabilitation protocol.

Methods

66 patients affected by FDP type II closed avulsion were surgically managed by the three different ways and the controlled active motion protocol. TAM, time of recovery and complications were addressed for each group.

Results

The three procedures adopted were similar at the final outcome.

Conclusion

These data showed a comparable the strength of suture techniques used with good clinical outcomes in terms of TAM recovery after surgery.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.