Article

Primary or secondary flexor tendon repair after laceration in children do not
have any technical specificity in comparison with adults.
However, tendon
ruptures may occur more frequently in case of light postoperative immobilization,
especially in young children as little cooperation can be expected in the
postoperative period. A closed above elbow cast should therefore be applied for
onemonth. Early mobilization program has no significant effect on the final
result in young children. However, these observations must be relativized in
teenagers who should be rehabilitated such as adults. For extensor tendon
injuries, dynamic splintage was found to be unnecessary in children. In cases
with total transection in zones I, II or III, it is necessary, especially in
children younger than 5 years, to transfix the IP joint in extension with a
smooth Kirschner wire during postoperative immobilization period.
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Langue : FRANCAIS