Exogenous Hyaluronate as an Adjunct in the Prevention of Adhesions after Flexor Tendon Surgery

Abstract

mong all the cases presenting to the emergency departments in almost every hospital, tendon injuries represent a major part with various causes and mechanisms of injuries with incidence up to 54.8% of patients with a small hand lacerations and 92.5% of patients with deep injuries. Post-operative tendon adhesions remain an annoying and disappointing complication of flexor tendon repair. Several advances have been made to prevent adhesion formation, including improved surgical techniques, new suture material, and the addition of various pharmaceutical agents in an effort to inhibit scarring or lower friction along the tendon surface, therefore, we had to study new techniques to achieve better results and more satisfactory outcomes. However, the implementation of the new techniques has met some limitations, the most important was the poor compliance of the patients to the rehabilitation programs, and the second most important limitation was the significant rate of infections in group (A) subjects. The study we have performed revealed that the repeated