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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无名指指深屈肌闭合性撕脱：手术技术真的能改变结果吗？

背景/目的指深屈肌撕脱伤主要发生在运动损伤中，也被称为“运动衫指”。正确的手术时机处理这些病变是很重要的。存在不同的外科手术方法。并发症可能发生，但没有共识的类型的手术技术可以优于其他。本研究的目的是观察受II型sec. Leddy和Packer撕脱伤影响的三个不同组，采用三种不同的固定方法：通过指尖拔出缝线而不通过甲床，骨锚，以及这些方法的组合。目的是分析其中一种方法在最终TAM方面是否优于其他方法，以及其中一种方法是否比其他方法更适合使用早期康复方案。方法对66例FDPⅱ型闭合性撕脱术患者采用三种不同的手术方式和可控的主动运动方案进行手术治疗。观察各组患者的TAM、恢复时间及并发症。结果三种治疗方法的最终疗效相似。结论两种缝合技术强度相当，TAM术后恢复效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.