الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 195 |  |  |
| | | from | 195 | | |
Abstract
The flexor tendon repair in zone II is a most difficult and challenging problem due to the complex anatomy and biomechanics. This, in turn, raised the demand to a stronger, easier and less technical demanding repair technique.
The four methods (the modified 4-strand double Kessler, augmented 4-strand Becker, 4-strand Savage and modified 4-strand Tang) were strengthened by 5-0 polyester peripheral suture. The comparison between them in UBF and 2 mm gapping force, showed superiority of the augmented 4- strand Becker technique. The modified 4- strand locked Kessler technique had a significantly inferior result in the 2 mm gapping force when compared with the other three techniques and only a significantly inferior result in UBF with the augmented 4- strand Becker technique.
The 4- strand Savage and the modified 4- strand (U-shaped) Tang techniques were not statistically significant difference in the UBF with the augmented 4- strand Becker technique and the modified 4- strand double Kessler technique, while were statistically significant difference in the 2 mm gapping force with the modified 4- strand double Kessler technique, but not significant with the augmented 4- strand Becker technique.
All four techniques were amenable to clinical application without fear of rupture of the repair. Contrary to what was expected, the augmented 4- strand Becker technique had more complications and the least TAM when applied clinically in zone II flexor tendons repair with the modified Duran program for postoperative rehabilitation. They were evaluated by the total active motion system (ASSH) primarily, Strickland’s original grading system secondarily, Grip strength and Michigan hand outcomes questionnaire in medial four fingers, while the total .