Clinical study on different surgical methods to treat the attachment rupture of the flexor tendon of finger in diabetic patient

doi:10.3877/cma.j.issn.2096-0263.2020.06.005

Abstract

Abstract:

Objective

To analyze the effect of traditional surgical method (steel wire suture through subcutaneous tunnel) and the method of mini-anchor repair to treat the attachment rupture of finger flexor tendon after hand injury in diabetic patient and confirm the advantage of miniature anchor in the treatment of tendon rupture in patient with diabetes.

Methods

Prospective collection of sixty diabetic patients with rupture of finger flexor tendon in The Second Hospital of Shijiazhuang and The Second Hospital of Tangshan. Two groups were randomly divided, the experimental group (mini-anchor repair) and the control group (steel wire suture through subcutaneous tunnel). The function of the affected finger and wound healing were evaluated 2, 3, 4 months after surgery in two groups and the flexion and extension functions of the finger were compared between the two groups.

Results

Sixty patients were all followed up. At the last follow-up, there was no significant difference in flexion and extension ROM of MP and PIP between the experimental group and the control group. Compared with the control group, the flexion and extension ROM of DIP and TAM values in the experimental group were significantly different and the flexion and extension ROM of DIP and TAM values in the experimental group were significantly higher than those in the control group. TAM classification of hand motor function: 23 cases in experimental group were excellent, 6 cases were good, 1 case was fair. 22 cases in control group were excellent, 6 cases were good, 2 cases were good.

Conclusion

Repairing the rupture of flexor tendon attachment with mini-anchor can effectively prevent and reduce tendon adhesion, significantly improve the function of finger flexion and extension after surgery. It is an effective and feasible method and has relatively large advantages over traditional surgery.

Key words: Mini-anchor, Diabetes, Flexor tendon, Attachment rupture

Yuntao Shang, Tong Zhou, Jing Liang, Haoting Wang, Junyong Li. Clinical study on different surgical methods to treat the attachment rupture of the flexor tendon of finger in diabetic patient[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2020, 06(06): 340-345.

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References 23

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组别	例数	性别（例，男/女）	年龄（岁， ±s）	伤口长度（cm， ±s）	受伤时间（h， ±s）	肌腱质量（例，拔丝/切割）	术前血糖（mmol/L， ±s）
试验组	30	18/12	43.53±4.45	3.26±0.35	4.03±0.94	14/16	10.33±0.74
对照组	30	17/13	43.60±4.47	3.24±0.34	3.93±0.90	13/17	10.29±0.69
统计值		χ²=1.669	t=0.058	t=0.187	t=0.442	χ²=0.067	t=0.453
P值		0.196	0.954	0.852	0.675	0.795	0.633

组别	例数	性别（例，男/女）	年龄（岁， ±s）	伤口长度（cm， ±s）	受伤时间（h， ±s）	肌腱质量（例，拔丝/切割）	术前血糖（mmol/L， ±s）
试验组	30	18/12	43.53±4.45	3.26±0.35	4.03±0.94	14/16	10.33±0.74
对照组	30	17/13	43.60±4.47	3.24±0.34	3.93±0.90	13/17	10.29±0.69
统计值		χ²=1.669	t=0.058	t=0.187	t=0.442	χ²=0.067	t=0.453
P值		0.196	0.954	0.852	0.675	0.795	0.633

组别	例数	TAM值（ ±s）	优	良	可	屈伸活动度（DIP， ±s）	屈伸活动度（PIP， ±s）	屈伸活动度（MP， ±s）
试验组	30	252.17±7.03	23	6	1	78.33±5.14	84.67±5.40	89.17±2.31
对照组	30	239.67±8.90	22	6	2	68.33±5.14	83.17±5.33	88.17±3.07
t值		6.036	χ²=0.351			7.533	1.082	1.425
P值		<0.01	0.554			<0.01	0.284	0.159

组别	例数	TAM值（ ±s）	优	良	可	屈伸活动度（DIP， ±s）	屈伸活动度（PIP， ±s）	屈伸活动度（MP， ±s）
试验组	30	252.17±7.03	23	6	1	78.33±5.14	84.67±5.40	89.17±2.31
对照组	30	239.67±8.90	22	6	2	68.33±5.14	83.17±5.33	88.17±3.07
t值		6.036	χ²=0.351			7.533	1.082	1.425
P值		<0.01	0.554			<0.01	0.284	0.159

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