Evaluation of postoperative early mobilization in patients with repaired flexor tendons of the wrist, the spaghetti wrist

Abstract

Purpose: The hands and wrists are very important for performing the activities of daily life independently. The spaghetti wrist may involve major nerves and arteries, as well as the wrist and finger flexors. The purpose of this study was to evaluate the rehabilitation results of postoperative early mobilization in patients with repaired flexor tendons of the wrist.

Methods: Thirty-three patients with repaired flexor tendon injuries were included. Patients were divided into two groups due to ethylogy. Group 1 included 23 patients who incurred tendon injuries during fights with their family members or friends or due to broken glass after fighting. Two patients had cut their hands with a razor. The other patient had cut his hands during discussion. The Group 2 included 10 patients. The injuries in this group were due to work and home accidents.

Results: The functional result was excellent in 46% of fingers, good in 22%, fair in 17%, and poor in 15% in the Group 1 patients. The results were excellent in 55% of fingers, good in 17%, fair in 18%, and poor in 10% in the Group 2 patients.

Conclusion: Early primary repair and effective rehabilitation are of great importance during the postoperative period for successful results in the treatment of extensive volar wrist lacerations.