Concluded Case

What is the healing period for this case

look into this case , a Sharp deep cut during some hardware working , got operated and here are the details , kindly suggest your opinion

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Concluded answer

I think it's the middle finger EDC tendon which has been injured. Needs repair by prolene 4-0 suture. Give him slab in wrist 20 deg extension and fingers in full extension. Start passive mobilisation after 2 weeks then active mobilisation at 4 weeks. After 6-8 weeks give night splintage. After 2 months normal activities can be resumed provided the movements are satisfactory. Hope this will help.

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I think it's the middle finger EDC tendon which has been injured. Needs repair by prolene 4-0 suture. Give him slab in wrist 20 deg extension and fingers in full extension. Start passive mobilisation after 2 weeks then active mobilisation at 4 weeks. After 6-8 weeks give night splintage. After 2 months normal activities can be resumed provided the movements are satisfactory. Hope this will help.

Thank you doctor
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By looking at the wound it is situated over the dorsum of the hand, involving the extensor digitorum tendon of the middle finger, the severed tendon appears to be well repaired, with aseptic precaution, wound should be repaired , antibiotics and anti-inflammatory drugs to be administered ,hand to be immobilized in kocker's splint for 3 to 4 weeks

Then keep the hand in slab ..start graded exercise in 3-4week.in 8wk he can start normal job..not heavy wt bearing

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I thi k after specialist plastic surgeion intervention it would be perfectlly all rivht within max.1. Month.

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Surgery was d one with kessler repair with add pull over stitching Is it correct

Kessler ..not ideal for flat structure and particulars for thin structures ..
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Some extensor tendon..digital expansion cut ..repair it ..thats all

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