SDFT was exposed through a linear skin incision at the lateral aspect of the mid-metacarpal region. The edges of the surgical wound were grasped using Allis forceps. The paratenon was dissected with scissors to identify the SDFT. Full-thickness tenotomy was performed using a scalpel. The two ends of SDFT were sutured with a double locking loop suture pattern according to Easley et al.23 (link) using No. 2-0 nylon suture material (Ethicon/India). The paratenon was closed using a simple interrupted suture pattern and 3-0 polyglactin 910 (Egysorb; Taisier-Med). The subcutaneous tissue was sutured continuously using 3-0 Egysorb. The skin was closed in a simple interrupted pattern using braided silk no. 0 (Ethicon/India). The operated limb was kept in a cast using a combination of a splint and plaster of Paris bandage from the hoof to above the carpal joint for 1, 2, and 3 months in subgroups 1, 2, and 3 respectively.
Full-Thickness SDFT Tenotomy: Control Group
SDFT was exposed through a linear skin incision at the lateral aspect of the mid-metacarpal region. The edges of the surgical wound were grasped using Allis forceps. The paratenon was dissected with scissors to identify the SDFT. Full-thickness tenotomy was performed using a scalpel. The two ends of SDFT were sutured with a double locking loop suture pattern according to Easley et al.23 (link) using No. 2-0 nylon suture material (Ethicon/India). The paratenon was closed using a simple interrupted suture pattern and 3-0 polyglactin 910 (Egysorb; Taisier-Med). The subcutaneous tissue was sutured continuously using 3-0 Egysorb. The skin was closed in a simple interrupted pattern using braided silk no. 0 (Ethicon/India). The operated limb was kept in a cast using a combination of a splint and plaster of Paris bandage from the hoof to above the carpal joint for 1, 2, and 3 months in subgroups 1, 2, and 3 respectively.
Corresponding Organization : Assiut University
Variable analysis
- Duration of immobilization in a cast (1 month, 2 months, 3 months)
- Healing and recovery of the SDFT after full-thickness tenotomy
- Full-thickness tenotomy of SDFT without any additional treatment
- Suturing of the two ends of the SDFT using a double locking loop suture pattern
- Closure of the paratenon using a simple interrupted suture pattern
- Continuous suturing of the subcutaneous tissue
- Skin closure using a simple interrupted pattern
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