Long-term Results after Restoring Flexor Tendon Injury in Children Younger than Age 10 Years

Background: In regard to the rarity of pediatric tendon lacerations compared with the adult population, sparseknowledge exists. Published reports indicate that the incidence of good flexor tendon repair outcomes is low.This study aimed to determine the injury pattern and demographics of pediatric flexor tendon injuries over thepast decade.Methods: A retrospective chart review of all flexor tendon injuries between 2005 and 2015 was performed.Parameters reviewed included demographics, injury mechanism, repair technique, outcomes, and complications.Results: A total of 20 patients with a median age of 4 years and 4 months experienced 45 tendon injuries. Themost common cause of injury was glass (n = 10), with the most common digit injured being the index finger(n = 8). Zone II had the highest number of injuries (n = 14). The modified Kessler core and peripheral runningsutures technique were used in all primary repairs (n = 18). Using author designed evaluation system, 80% ofpatients experienced excellent recovery. Four patients had good results. Only one patient complicated withrupture necessitating further surgery that its final evaluation was excellent.Conclusions: The outcome of restoring flexor tendon injury of children is satisfactory, and we recommend that.© 2014 Tehran University of Medical Sciences. All rights reserved.Citation: Jafari D, Shariatzadeh H, Najd-Mazhar F, Nabi R. Long-term Results after Restoring FlexorTendon Injury in Children Younger than Age 10 Years. Acad J Surg, 2016; 3(1-2): 15-8.

Keywords:

Flexor tendon , Outcome , Pediatric