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
This trial does not accept healthy volunteersQualifiers
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 population
Adult patients (≥18 years) presenting to Assiut University Hospitals with single or multiple clean-cut flexor tendon injuries in zone II, eligible for primary repair within 2 weeks of injury. Concurrent directly repairable digital nerve injuries are included. Crush/avulsion injuries, associated fractures, neurovascular compromise, or recurrent/chronic cases are excluded. Target enrollment: 40 patients.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Total Active Motion (Strickland Score)
Total active motion of the injured finger(s) measured using the Strickland and Glogovac score via handheld goniometer, assessing flexion excursion.
Secondary outcomes
Grip Strength
Grip strength of the injured hand measured using a standard hand dynamometer.
Locations
Sponsors and contacts
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