Flexor tendon injuries of the hand treated with TenoFix: mid-term results.

BACKGROUND

Recently, the Teno Fix device has been detailed in the literature. Conventional stranded cruciate repair requires splinting to protect the sutures from excessive loading, and then, active motion is strongly limited leading to a possible incomplete functional recovery.

MATERIALS AND METHODS

The authors report on their experience in treating 21 patients presenting primary flexor tendon injuries within the digital sheath in zone 2, in all fingers (including the thumb), at an average follow-up of 16 (range: 6-26) months.

RESULTS

There were, according to Strickland and Glogovac criteria: 12 excellent; 6 good; 3 fair.

CONCLUSIONS

This new device is practical clinically and can effect strong tendon repairs that withstand early active finger motion, but the best indication is to treat only selected cases of sharp flexor tendon lesions in zone 2. Using this technique it is possible to achieve a quick functional recovery and early return to work.