DOI: 10.36347/sasjs.2021.v07i04.016

Pages: 221-225

Introduction: Hand trauma and hand injury are quite common in our country. As a result of lack of safety in many workplaces, and an increased number of social and political violence, hand injuries are increasing every day. The basic functions of the hand are disturbed when the tendons are damaged. And proper repair is necessary to gain back full functions. Our country has a lack of qualified hand surgeons, so hand trauma patient has to suffer a lot here. This study focused on tendon repair in zone II, or “no man’s land” of the hand, where the margin of error is extremely small due to having both tendons interweaved in a complex manner in this area. Before 1960, tendon injury was treated through secondary grafting, which was done after the primary wound had healed. After 1960, surgeons started to rely more on primary treatment for tendon repair. The aim of this study is to evaluate the functional outcome after primary repair of flexor tendons in zone II in sharp cut injury. Methods: This prospective quasi-experimental study was carried out at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, during a 2-year timeframe, from January 2013 to November 2014. Result: Maximum of the patients were male and only 19% were female. The majority of the patients belonged to the age group of 11-20 years. Index and ring fingers were the majority of the injured. There was a variety of occupations among the patients. 62.5% had injury in single digits. The majority of the injury was from a sharp cut from knife. The functional outcome was satisfactory in 67% of the cases, and most of the operations were done within 24 hours of the accident. Conclusion: The Flexor tendon repair in zone II is a challenging surgery. For satisfactory results, repair of all the tendons should be complete, eliminating all raw surfaces, but still allowing tendons to pass through the tunnel. This study shows that primary repair and early movement with passive flexion and acti