Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair

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dc.authoridAkyürek, Mustafa / 0000-0002-3302-0521
dc.authoridHafız, Güneş / 0009-0008-4603-8123
dc.authoridSayan, Mihrican / 0000-0002-3469-7139
dc.contributor.authorAkyürek, Mustafa
dc.contributor.authorHafız, Güneş
dc.contributor.authorSayan, Mihrican
dc.date.accessioned2025-01-27T20:53:52Z
dc.date.available2025-01-27T20:53:52Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThis study investigates the impact of proximal interphalangeal joint palmar plate injury on outcomes of flexor tendon repair in zone 2, excluding cases with fractures or dislocations. A retrospective review of 47 digits in 45 patients treated between 2014 and 2022 was conducted, analysing surgical notes, ultrasound images and patient photographs. The palmar plate was injured in 17 digits and intact in 30. Outcomes were assessed using the Strickland criteria for active range of movement 6 months postoperatively. Our analysis revealed that palmar plate injuries significantly affect flexor tendon repair outcomes, with a normal palmar plate increasing the likelihood of excellent recovery by 18 times. Although previous studies indicate no consensus on the impact of flexor digitorum superficialis repair, our findings emphasize the importance of palmar plate integrity. Nerve injury and flexor digitorum superficialis repair did not show significant effects on recovery in this cohort. Our study provides valuable insights into the importance of the injury to the palmar plate.Level of evidence: III
dc.description.sponsorshipWe would like to extend our gratitude to ACELEMDER and Prof. Dr. Turker Ozkan for providing the technical support and unwavering encouragement that made this study possible. Our deepest thanks go to EMOT Hospital and Prof. Dr. Sait Ada for their mentorship and guidance. Their dedication to supporting the growth of our residents and broadening our horizons has been an inspiration.
dc.identifier.doi10.1177/17531934241300510
dc.identifier.endpage615
dc.identifier.issn1753-1934
dc.identifier.issn2043-6289
dc.identifier.issue5
dc.identifier.pmid39639780
dc.identifier.scopus2-s2.0-85211104139
dc.identifier.scopusqualityQ2
dc.identifier.startpage609
dc.identifier.urihttps://doi.org/10.1177/17531934241300510
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25882
dc.identifier.volume50
dc.identifier.wosWOS:001371053700001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofJournal of Hand Surgery-European Volume
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectPalmar plate
dc.subjectflexor tendon
dc.subjecttendon injury
dc.subjectsubzones
dc.subjectzone 2
dc.titleInfluence of palmar plate injury on outcomes of zone 2 flexor tendon repair
dc.typeArticle

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