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. 2023 Sep 15;15(9):5683-5690.
eCollection 2023.

ZM suture combined with early functional exercise can promote finger functional recovery in patients with finger flexor tendon rupture

Qingbing Bai  1 , Liyuan Dong  2 , Hongqing Wang  1 , Tianxiao Ma  1 , Lihua Song  1
Affiliations

ZM suture combined with early functional exercise can promote finger functional recovery in patients with finger flexor tendon rupture

Qingbing Bai et al. Am J Transl Res. .

Abstract

Objective: To investigate the efficacy of ZM suture combined with early functional exercise in repairing flexor tendons and its impact on finger function recovery in patients.

Methods: A retrospective analysis was conducted on 60 patients who sought medical treatment at the Orthopedics Hospital of Xingtai City from August 2019 to August 2022. Among them, 29 patients treated with the modified Kessler suture technique were assigned to the control group, while 31 patients treated with ZM suture technique were assigned to the observation group. Both groups of patients underwent early functional exercise after surgery and were followed up regularly for 6 months. Finger function, grip strength, pinch strength at 6 months after operation, upper limb function before and after treatment, visual analog pain scale (VAS) at 1 and 2 weeks postoperatively, quality of life, and incidence of complications were compared between the two groups. The risk factors affecting the prognosis of patients were analyzed.

Results: At 6 months postoperatively, the observation group showed significantly better finger function, grip strength and grip strength ratio, and upper limb function compared to the control group (all P<0.05). The observation group had significantly lower VAS scores at 1 and 2 weeks postoperatively and a significantly lower incidence of complications compared to the control group, while their quality of life was significantly better than that of the control group (all P<0.05). The choice of treatment method is an independent risk factor affecting the prognosis of patients (P<0.05).

Conclusion: The ZM suture technique combined with early functional exercise has significant efficacy in repairing flexor tendons, effectively promoting finger function recovery in patients. It is also associated with a high level of safety and warrants clinical application and promotion.

Keywords: ZM suture technique; early functional exercise; finger function; repair of flexor tendons.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Comparison of DASH score in the two groups before operation and at 1 week and 2 weeks after operation. *, P<0.05. DASH, Disability of Arm Shoulder and Hand.
Figure 2
Figure 2
The VAS scores of the research group at 1 week and 2 weeks. *, P<0.05. VAS, visual analog pain scale.
See this image and copyright information in PMC

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