Application of Improved M-Tang Stepwise Suture Technique in the Repair of Zone Ⅱ Deep Finger Flexor Tendon
Objective To analyze the effect of the improved M-Tang ladder suture in the repair surgery of the flexor digitorum profundo's tendon in zone Ⅱ.Methods A retrospective analysis was conducted on 178 patients(220 injured fingers)with deep flexor digitorum tendon injury in Zone Ⅱ of the author's hospital from January 2021 to December 2023.The injured fingers were divided into a control group and an observation group using random number method,with each group consisting of 110 fingers.The control group was treated with Tianjin suture technique,while the observation group was treated with improved M-Tang stepwise suture technique.The operation time,length of hospital stay,patient satisfaction,finger active joint range of motion and hand dysfunction score at 1 month after operation were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group(P<0.05),and there was no significant difference in hospitalization time and patient satisfaction between the two groups(P>0.05).The excellent and good rate of total active joint activity in the observation group was significantly higher than that in the control group(P<0.05).The proximal and distal interphalangeal joint range of motion in the observation group was better than that in the control group(P<0.05),and there was no significant difference in the metacarpophalangeal joint range of motion between the two groups(P>0.05).The score of hand dysfunction in the observation group was lower than that in the control group(P<0.05).Conclusion The improved M-Tang stepwise suture technique has a good effect on the repair of the deep flexor tendon in zone Ⅱ,which can improve the active range of finger movement and hand function.
M-Tang methodfinger deep flexor tendontendon injurysurgical repair