{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:06:33Z","timestamp":1777662393138,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"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":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There are no reports that detail clinical outcomes using the 8-strand suture techniques and early active mobilization. We aim to report the outcome of using an 8-strand double-cruciate core suture followed by early active motion without finger splinting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty-five patients with 41 affected digits were operated and followed up for at least 6 months. A double cruciate repair with 4 single cross-grasping stitches on either side was employed. Active full-range finger flexion\/extension exercises were allowed from the third postoperative day with the wrist held in the neutral position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The total active motion (TAM) calculated for the proximal interphalangeal and distal interphalangeal joints averaged 151\u00b0 \u00b1 22\u00b0, and the TAM% averaged 86% \u00b1 13%. Based on the original Strickland-Glocovac criteria, excellent and good outcomes were achieved in 25 of 29 fingers (86.2%). An average extension lag of 21\u00b0 \u00b1 11\u00b0 (range 10\u00b0-40\u00b0) was observed in 11 (38%) fingers. The Buck-Gramcko scale showed excellent and good results in 10 (83.4%) thumbs. Active interphalangeal range of motion averaged 68\u00b0 \u00b1 23\u00b0. An average extension lag of 12\u00b0 \u00b1 4\u00b0 (range 10\u00b0-20\u00b0) was observed in 7 (58%) thumbs. Complications occurred in 4 thumbs, including bowstringing (2), rupture (1), and flexion contracture of 60\u00b0 (1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Using the 8-strand repair technique and active mobilization performed by the patient is both practical and cost-saving. Intensive supervision of a hand therapist is generally not required. Notably improved outcomes have been achieved while preventing adhesions at the repair site. Further clinical outcome studies devoted specifically to the flexor pollicis longus are recommended to validate early-phase active mobilization following the 8-strand repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231220686","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T07:24:47Z","timestamp":1705562687000},"page":"432-437","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcome of Flexor Tendon Repair Using Eight-Strand Core Stitch Without Postoperative Finger Splinting"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8434-3523","authenticated-orcid":false,"given":"Tarek Abdalla","family":"El-Gammal","sequence":"first","affiliation":[{"name":"Assiut University Hospitals and School of Medicine, Egypt"},{"name":"Department of Orthopedics, University of Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Mostafa","family":"Kotb","sequence":"additional","affiliation":[{"name":"Assiut University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser Farouk","family":"Ragheb","sequence":"additional","affiliation":[{"name":"Assiut University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousif Tarek","family":"El-Gammal","sequence":"additional","affiliation":[{"name":"Assiut University Hospitals and School of Medicine, Egypt"},{"name":"Kristine Kleinert Institute of Hand Surgery, Louisville, Kenyucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina Micheal","family":"Anwar","sequence":"additional","affiliation":[{"name":"Assiut University Hospitals and School of Medicine, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413492914"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.02.007."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.03.012."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408091570"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"464","article-title":"Outcomes of flexor tendon repairs in zones 1 and 2 [in Japanese]","volume":"36","author":"Kusano N","year":"2020","unstructured":"Kusano N, Shirase S, Koizumi H. 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J Jpn Soc Surg Hand. 2020;36(4):464-468.","journal-title":"J Jpn Soc Surg Hand"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(85)90001-4."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90238-0."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_89_90154-x."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(98)80096-8."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153822."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205121."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001048."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(80)80101-8."},{"issue":"2","key":"e_1_3_2_15_2","first-page":"65","article-title":"Evaluation criteria in follow-up studies of flexor tendon therapy","volume":"8","author":"Buck-Gramcko D","year":"1976","unstructured":"Buck-Gramcko D, Dietrich FE, Gogge S. 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