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Clinical experience of using loop threads for tendon suturing of injured tendons of finger flexors in children's hands
- Authors: Idris L.Y.1,2, Alexandrov A.V.1, Vybornov D.Y.1,2, Goncharuk P.V.1, Evdokimov A.N.1, Lvov N.V.1, Smirnov A.A.1,2, Khagurov R.A.1,2
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Affiliations:
- The Russian National Research Medical University named after N.I. Pirogov
- Filatov N.F. Children's City Hospital
- Issue: Vol 28, No 1 (2024)
- Pages: 73-81
- Section: CASE REPORT
- URL: https://jps-nmp.ru/jour/article/view/576
- DOI: https://doi.org/10.17816/ps576
- ID: 576
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Abstract
BACKGROUND: Despite a significant progress in hand surgery, to date, the number of unsatisfactory functional outcomes in patients with injured flexor tendons of fingers still remains high, which underlines the importance and significance of the problem of flexor tendon repair in children.
CLINICAL CASE DESCRIPTION: The authors present a series of clinical cases with the application of loop threads for suturing tendons in children with tendon injuries in deep finger flexors at different anatomical sites. They share their experience in using loop threads for tendon suturing in zones II, III, IV, V including tendon end reinsertion in zone I again with a loop thread. The primary task of surgical treatment of children with injured tendons of finger flexors is their restoration. In order to prevent secondary tendon ruptures, finger contractures, infectious complications and scarring of the tendon with surrounding tissues, it is recommended to use optimal suture material and surgical sutures that meets the basic requirements for tendon suturing . Specific pediatric anatomy must be taken into consideration as well. As the authors' clinical experience shows, a new approach to the restoration of injured finger flexor tendons with loop threads allows to avoid complications in 98% of cases.
CONCLUSION: The implementation of loop tendon suturing into pediatric practice in combination with appropriate rehabilitation and motivation for the rehabilitation of a child and his/her parents opens up new prospects for the successful treatment of children with injured tendons of deep flexors of hand fingers.
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About the authors
Lamiya Ya. Idris
The Russian National Research Medical University named after N.I. Pirogov; Filatov N.F. Children's City Hospital
Author for correspondence.
Email: idrislamiya@mail.ru
ORCID iD: 0000-0002-4902-7939
SPIN-code: 1193-7787
MD
Russian Federation, Moscow; MoscowAlexander V. Alexandrov
The Russian National Research Medical University named after N.I. Pirogov
Email: alexmicrosurg@mail.ru
ORCID iD: 0000-0002-6110-2380
SPIN-code: 5229-0038
MD
Russian Federation, MoscowDmitry Yu. Vybornov
The Russian National Research Medical University named after N.I. Pirogov; Filatov N.F. Children's City Hospital
Email: dgkb13@gmail.com
ORCID iD: 0000-0001-8785-7725
SPIN-code: 2660-5048
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Moscow; MoscowPavel V. Goncharuk
The Russian National Research Medical University named after N.I. Pirogov
Email: goncharukpavel@yandex.ru
ORCID iD: 0000-0002-9560-037X
SPIN-code: 6801-9875
MD
Russian Federation, MoscowAlexander N. Evdokimov
The Russian National Research Medical University named after N.I. Pirogov
Email: pediatrix@yandex.ru
ORCID iD: 0000-0002-9113-3612
MD
Russian Federation, MoscowNikolay V. Lvov
The Russian National Research Medical University named after N.I. Pirogov
Email: dr.stillpoint@gmail.com
ORCID iD: 0000-0001-5169-8312
MD
Russian Federation, MoscowAlexander A. Smirnov
The Russian National Research Medical University named after N.I. Pirogov; Filatov N.F. Children's City Hospital
Email: smirnovaan@bk.ru
ORCID iD: 0000-0002-7274-8291
MD
Russian Federation, Moscow; MoscowRuslan A. Khagurov
The Russian National Research Medical University named after N.I. Pirogov; Filatov N.F. Children's City Hospital
Email: dr.khagurov@gmail.com
ORCID iD: 0000-0001-7944-8438
SPIN-code: 2428-5302
MD
Russian Federation, Moscow; MoscowReferences
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