About this trial
This prospective cohort study evaluates functional outcomes of primary eight-strand flexor tendon repair in zone II without postoperative splinting in 40 adults (≥18 years) at Assiut University Hospitals. Patients undergo wide-awake local anesthesia no tourniquet (WALANT) surgery followed by immediate gentle active motion. Primary outcome: total active motion via Strickland score at 6 weeks and 6 months. Secondary: grip strength, DASH score, patient satisfaction.
Eligibility criteria
Qualifiers
Adult patients (18+ years).
Single or multiple clean-cut flexor tendon injuries.
Primary repair performed within 2 weeks.
Patients with concurrent digital nerve injuries will include if the nerve could be directly repaired.
Disqualifiers
Crush or avulsion injuries.
Associated fractures or neurovascular compromise.
Recurrent or chronic tendon injuries.
Trial design
Treatments tested in this trial
- Not listed