A PROSPECTIVE COMPARATIVE STUDY OF CLINICAL AND FUNCTIONAL OUTCOME OF ZONE II FLEXOR TENDON REPAIR: TWO STRAND MODIFIED KESSLER (4–0 POLYPROPYLENE) VS SIX STRANDS MODIFIED KESSLER (6–0 POLYPROPYLENE) TECHNIQUE

Volume : VII, Issue : X, October - 2018

Dr. Nilottpal Dey, Dr. Maniranjan Debbarma, Dr. Kishan Rao B

Zone II flexor tendon injuries remained an ever challenging issue for hand surgeons. Since 1980s till date numerous techniques of repair and

rehabilitation protocols have evolved to give the best outcome which was never possible. In search of modification of six strand repairs and to

assess the outcome of this modification in comparison to two–strand repair, we did this study in our department on 30 injured digits. We found better

results in tendons repaired with 6–0 polypropylene in six strand modification of modified Kessler technique.

Further study in larger number of patients comp� 6–0 polypropylene in six–strand modification of modified Kessler technique with four–strand

techniques and other triple loop (six strands) technique followed by early active motion protocol is required to establish its efficacy and

standardization.