Clinical outcomes of Modified Duran Protocol following zone 2 flexor tendon injuries

Purpose: The purpose of this study was to evaluate the effectiveness of early rehabilitation in patients undergoing primer surgery following zone-2 flexor tendon injury. Methods: Thirty three cases (43 fingers) were included in this study, retrospectively. Modified Duran Protocol was applied to the individuals who undergone primer repair with 4-strand cruciate core technique. Functionality, pain and edema of the cases were assessed with Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) and total active motion (TAM), visual analogue scale (VAS), and with figure-of eight method, respectively. Results: There were significant improvements in Q-DASH, edema and pain scores were recorded (p<0.001). Thirty-nine fingers were evaluated as fair, good or excellent according to TAM scores. Conclusion: We suggest that Modified Duran Protocol reduces complications and improves function in Zone 2 flexor tendon injured cases that are repaired with four strand cruciate core technique