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Review paper
Received: 04.05.2020. >> Accepted: 09.09.2020. >> Published: 09.10.2020. Biochemistry
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https://doi.org/10.17392/1191-21

Modalities of extensor tendon repair related to etiological factors and associated injuries

By
Sanela Salihagić Orcid logo ,
Sanela Salihagić
Contact Sanela Salihagić

Clinic of Reconstructive and Plastic Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Zlatan Zvizdić ,
Zlatan Zvizdić

Clicnic of Paediatric Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Dženana Hrustemović ,
Dženana Hrustemović

Faculty of Pharmacy and Health Travnik, Travnik, Bosnia and Herzegovina

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Redžo Čaušević ,
Redžo Čaušević

Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Ahmad Hemaidi
Ahmad Hemaidi

Clicnic of Reconstructive and Plastic Surgery, Clinical Centre of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Abstract

Aim
To evaluate modalities of extensor tendons repair of hand and forearm in specific anatomical zones with regard to etiological factors and presence of associated injuries of adjacent anatomical structures.
Methods
This cross-sectional study included 279 patients referred for extensor tendon repair of hand and forearm in specific anatomical zones. Available treatment modalities were evaluated concerning etiological factors, anatomical zones, and associated injuries. Statistical significance was analysed in the occurrence of early and late postoperative complications according to anatomical zones.
Results
Direct repair of extensor tendon lesions was found to be the most common modality of reconstruction, 230 (93.5%),
of which blade injuries were predominant, 120 (48.7%). Direct tendon repair was mostly indicated in Zone VI and Zone III, in 55 (23.9%) and 42 (18.3%) patients, respectively. Statistically, a significant correlation was confirmed between treatment modalities, injuries in specific anatomical zones, and type of etiological factor (p<0.0001). Statistical correlation was confirmed between zones of injuries and the occurrence of early and late complications (p=0.002).
Conclusion
Successful postoperative recovery was correlated with the recognition of functional failure in specific zones, assessment of potential associated injuries, and selection of the most optimal modality of reconstruction.

Keywords:

associated injury,
etiologic factors,
extensor tendons,
tendon repair

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