A comparison between modified Kessler and modified Tsuge suture techniques in flexor tendon repair

Abstract

Background and Objective: Severed digital flexor tendon needs to be repaired to restore flexion function of the finger. The aim is to evaluate tendon repair outcomes by using two different suturing techniques modified Kessler and modified Tsuge. Patients and Methods: This is a comparative study performed in Rozhawa Emergency Hospital and Emergency Medical Center in Erbil city, Kurdistan region-Iraq between 1st of December 2019 to 1st of June 2021. The study included (33) patients of both genders who presented with acute flexor tendons laceration in fingers which their number were (44) fingers underwent digital flexor repair by using two different suture techniques modified Tsuge and modified Kessler. Results: This study includes (30) males and (3) females, patients with digital flexor tendon cut the age ranged from 18 years to 58 years, mean age was 30.1 ± (10.5) years SD. The majority of the injuries (90.9%) were in zone 2, and the right hand was injured in 56.8% of the total injuries. The most common injured fingers were the ring (25%) and the little finger (25%). The Flexor digitorum profundus was the most common (79.5%) injured tendon. The proportion of the patients who were satisfied with the operation's outcome is 60.6%. Conclusions: Tendon repair by using modified Tsuge 4 strands suture technique showed significant strength and less complication rate.