{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:45:28Z","timestamp":1793234728089,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T00:00:00Z","timestamp":1675382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to examine the clinical outcomes of extensor tendon repairs based on zone of injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted on all patients who underwent primary extensor tendon repair at our institution. Extensor tendon repairs were performed using a multiple figure-of-8 suture technique for extensor zones 1-4 and a modified Kessler suture technique for extensor zones 5-8. Inclusion criteria included a minimum of 8 weeks of follow-up, complete data available for review, and extensor tendon injury requiring primary surgical repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 132 digits were included for analysis: 46 digits in zones 1-4 and 86 digits in zones 5-8. The operative time for zone 1-4 injuries averaged 88.96 minutes, and the operative time for zone 5-8 injuries averaged 114.42 minutes. Final extension was found to be 2.33\u00b0 for zones 1-4 and 6.66\u00b0 for zones 5-8. Final flexion was found to be 141.4\u00b0 for zones 1-4 and 195.3\u00b0 for zones 5-8. There was 1 infection identified in zones 1-4 and 7 in zones 5-8.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Surgically repaired extensor tendons in zones 1-4 were found to have a statistically significant worse final flexion compared with surgically repaired extensor tendons in zones 5-8. No significant differences were found in final extension, complication rates, and time to full activity. Operative times for zone 5-8 tendon repairs were found to be significantly longer than operative times for zone 1-4 repairs, possibly due to more complex injury patterns seen in the more proximal zones.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221150510","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T05:27:35Z","timestamp":1675402055000},"page":"831-836","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Extensor Tendon Repair Outcomes Based on Zone of Injury"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2225-7969","authenticated-orcid":false,"given":"Stewart S.","family":"Dalton","sequence":"first","affiliation":[{"name":"JPS Health Network, Fort Worth, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Maharjan","sequence":"additional","affiliation":[{"name":"The University of North Texas Health Science Center, Fort Worth, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayyan","family":"Yousuf","sequence":"additional","affiliation":[{"name":"The University of North Texas Health Science Center, Fort Worth, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-9798","authenticated-orcid":false,"suffix":"II","given":"William F.","family":"Pientka","sequence":"additional","affiliation":[{"name":"JPS Health Network, Fort Worth, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"bibr1-15589447221150510","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810412500062"},{"key":"bibr2-15589447221150510","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2015.05.001"},{"issue":"2","key":"bibr3-15589447221150510","first-page":"27","volume":"28","author":"Bugeja M","year":"2016","journal-title":"Malta Med 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