{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:28:15Z","timestamp":1781299695871,"version":"3.54.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated late-term results of surgical repair and physical rehabilitation of isolated zone 3 extensor tendon injuries.\\r\\nMethods: Sixteen patients (13 males, 3 females; mean age 28 years; range 11 to 57 years) underwent surgical repair for isolated simple central slip injuries of zone 3 extensor tendon. Injuries involved the second, third, fourth, and fifth fingers in seven, three, two, and four patients, respectively. Primary tendon repair was performed in 14 patients. Two patients were treated after one week and two months following primary injury, respectively. Tendons were repaired by modified Kessler and epitendinous sutures in four patients, and by locking running suture in 12 patients. Following surgical repair, three patients underwent K-wire fixation in extension for two weeks, while 13 patients received the short arc motion protocol. The patients were assessed with respect to proximal interphalangeal (PIP) joint motion and extension loss. Functional results were assessed using the Strickland formula. The mean follow-up was 58 months (range 8 to 120 months).\\r\\nResults: Full range of motion of the PIP joint was achieved in 15 patients (93.8%). The mean PIP joint motion was 98 degrees. One patient (6.3%) had an extension loss of 10 degrees in the range of motion of the PIP joint. There were no losses in the range of motion in three patients treated with K-wire fixation. The mean of the Strickland formula was 94.8% (range 74% to 100%), showing an excellent result in 15 patients (98.3%) and a good result in one patient (6.3%). All the patients returned to their pre-injury work status. None had buttonhole deformity or soft tissue complication.\\r\\nConclusion: A proper suture technique combined with the short arc motion protocol provides good results in the treatment of isolated zone 3 extensor tendon injuries.\n\n\u00d6zet\n\nAma\u00e7: \u00dc\u00e7\u00fcnc\u00fc b\u00f6lgede izole ekstans\u00f6r tendon kesisi olan hastalarda uygulanan cerrahi onar\u0131m ve fizik tedavinin ge\u00e7 d\u00f6nem sonu\u00e7lar\u0131 geriye d\u00f6n\u00fck olarak incelendi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00dc\u00e7\u00fcnc\u00fc b\u00f6lgede izole basit santral slip ekstans\u00f6r tendon yaralanmas\u0131 nedeniyle cerrahi onar\u0131m uygulanan 16 hasta (13 erkek, 3 kad\u0131n; ort. ya\u015f 28; da\u011f\u0131l\u0131m 11-57) \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Yaralanan parmaklar 2. parmak (n=7), 3. parmak (n=3), 4. parmak (n=2) ve 5. parmak (n=4) idi. On d\u00f6rt hastada tendon onar\u0131m\u0131 primer yap\u0131ld\u0131. \u0130ki hastada giri\u015fim s\u0131ras\u0131yla bir hafta ve iki ayl\u0131k gecikmeyle yap\u0131ld\u0131. D\u00f6rt hastada modifiye Kessler ve epitendin\u00f6z diki\u015f, 12 hastada kilitli devaml\u0131 diki\u015f kullan\u0131ld\u0131. Tendon onar\u0131m\u0131 sonras\u0131nda \u00fc\u00e7 hastada iki hafta s\u00fcreyle ekstansiyonda K-teli ile tespit uygulan\u0131rken, 13 hastaya k\u0131sa ark hareket program\u0131 uyguland\u0131. Hastalar son kontrolde proksimal interfalengeal (P\u0130F) eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 ve ekstansiyon kayb\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. Sonu\u00e7lar, Strickland form\u00fcl\u00fc kullan\u0131larak de\u011ferlendirildi. Ortalama izlem s\u00fcresi 58 ay (da\u011f\u0131l\u0131m 8-120 ay) idi.\\r\\nSonu\u00e7lar: Proksimal interfalengeal eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 15 hastada (%93.8) tam bulundu. Ortalama P\u0130F eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 89 derece idi. Bir hastada (%6.3) P\u0130F eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131nda 10\u00ba fleksiyon kayb\u0131 g\u00f6r\u00fcld\u00fc. K-teli ile tespit uygulanan \u00fc\u00e7 hastada hareket a\u00e7\u0131kl\u0131\u011f\u0131nda kay\u0131p g\u00f6zlenmedi. Strickland ortalamas\u0131 %94.8 (da\u011f\u0131l\u0131m %74-100) bulundu. On be\u015f hastada (%93.8) \u00e7ok iyi, bir hastada (%6.3) iyi sonu\u00e7 elde edildi. Hastalar\u0131n tamam\u0131 sorunsuz olarak i\u015flerine d\u00f6nd\u00fc. Hi\u00e7bir olguda ge\u00e7 d\u00f6nemde d\u00fc\u011fme ili\u011fi deformitesi, yumu\u015fak doku komplikasyonu g\u00f6zlenmedi.\\r\\n\u00c7\u0131kar\u0131mlar: \u0130zole \u00fc\u00e7\u00fcnc\u00fc b\u00f6lge ekstans\u00f6r tendon yaralanmalar\u0131nda, uygun diki\u015f tekni\u011fi ve k\u0131sa ark hareket program\u0131 ile iyi sonu\u00e7lar elde edilebilir.<\/jats:p>","DOI":"10.3944\/aott.2009.309","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T07:42:43Z","timestamp":1254382963000},"page":"309-316","source":"Crossref","is-referenced-by-count":4,"title":["The results of treatment for isolated zone 3 extensor tendon injuries"],"prefix":"10.5152","volume":"43","author":[{"given":"Murat","family":"Kayalar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emin","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulgar","family":"Toros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"Sugun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beray","family":"Keresoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Kaplan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2288\/2245","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:31Z","timestamp":1763463451000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2009,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.309","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}