Multidisciplinary treatment and functional outcome evaluation of combined injuries of nerves, vessels, and flexor tendons: spaghetti wrist

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dc.contributor.authorAtilgan, N.
dc.contributor.authorDuman, N.
dc.contributor.authorColak, T. S.
dc.contributor.authorKorucu, I. H.
dc.contributor.authorDemiryurek, M.
dc.date.accessioned2024-02-23T14:49:31Z
dc.date.available2024-02-23T14:49:31Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractOBJECTIVE: In this study, we aimed to evaluate the effectiveness of the modified Kessler technique in managing spaghetti wrist lacerations by multidisciplinary treatment. PATIENTS AND METHODS: Patients who were operated and followed up with the diagnosis of spaghetti wrist tears in our clinic between January 2012 and December 2020 were included in the study. In the postoperative follow-ups, the parameters evaluating the functionality of the patients were examined. RESULTS: Patients were 105 male (86.7%) and 16 women (13.2%), with a mean age of 36.83 & PLUSMN; 16.38 years. At the final follow-up, functional outcomes were assessed. The most common injury mechanism was glass-related injuries (35.5%). The mean starting surgery time of the patients was 4.64 & PLUSMN;2.98 hours. The most frequently involved structures were the palmaris longus with a rate of 51% and the flexor digitorum superficialis with a rate of 45%. There were significant differences regarding intrinsic function and grip strength between male and female patients (p = 0.04, p = 0.21, respectively). There were significant differences regarding sensation and grip strength between smoker and nonsmoker patients (p = 0.03, p = 0.01, respectively). The number of the damaged structures was negatively correlated with postsurgical functional outcomes of four tests, including tendon function, opposition, intrinsic function, and grip strength. The physical therapy period was correlated to hand function tests (r = 0.756, p < 0.05). Nerve damage was negatively correlated with sensation (p = 0.011, r =-0.932). CONCLUSIONS: The modified Kessler technique is reliable with functional outcomes for spaghetti wrist injuries involving tendons, nerves, and arteries. Meticulous and early surgical treatment within the first 8 hours of spaghetti wrist injury and early initiation and long-term physical therapy are vital in patients' functional outcomes.en_US
dc.identifier.endpage8815en_US
dc.identifier.issn1128-3602
dc.identifier.issue23en_US
dc.identifier.pmid36524499en_US
dc.identifier.scopus2-s2.0-85144091412en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage8808en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/18236
dc.identifier.volume26en_US
dc.identifier.wosWOS:000921361800019en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical And Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSpaghetti Wristen_US
dc.subjectModified Kessleren_US
dc.subjectMultidisciplinary Treatmenten_US
dc.subjectFunctional Outcomeen_US
dc.titleMultidisciplinary treatment and functional outcome evaluation of combined injuries of nerves, vessels, and flexor tendons: spaghetti wristen_US
dc.typeArticleen_US

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