Title
Functional and clinical outcome for single-stage tendon reconstruction: Chronic Zone II flexor tendon injury
Authors
SK. Murad Ahmed1,*, Krishna Priya Das1, Md. Ashraful Islam1, Nadia Zebin Khan2, Md. Moniruzzaman3, Mohammad Rajib Mahmud4, Md. Eunus Ali5, Md. Ehteshamul Choudhury1 & Mohammad Suman Sutar1
Affiliation
1Department of Orthopaedic Surgery, Bangladesh Medical University, Dhaka, Bangladesh; 2Department of Biochemistry, BIRDEM General Hospital, Shahbag, Bangladesh; 3Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh; 4Department of Orthopaedic Surgery, Sirajganj 250 Bed General Hospital, Sirajganj, Bangladesh; 5Department of Orthopaedic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh; *Corresponding author
SK. Murad Ahmed - E-mail: drskmurad@gmail.com
Krishna Priya Das - E-mail: kpdas74@bsmmu.edu.bd
Md. Ashraful Islam - E-mail: dr_ashraf007@yahoo.com
Nadia Zebin Khan - E-mail: nadiazebin@yahoo.com
Md. Moniruzzaman- E -mail: monir65137@gmail.com
Mohammad Rajib Mahmud - E-mail: dr.mahmuddj7@gmail.com
Md. Eunus Ali - E-mail: eunusdr@gmail.com
Md. Ehteshamul Choudhury - E-mail: mechoudhury86@gmail.com
Mohammad Suman Sutar - E-mail: sumansutar@gmail.com
Article Type
Research Article
Date
Received August 1, 2026; Revised August 31, 2026; Accepted August 31, 2026, Published August 31, 2026
Abstract
Chronic Zone II flexor tendon injuries often result in substantial functional impairment and remain surgically challenging. Therefore, it is of interest to evaluate the single-stage tendon reconstruction in 40 patients treated at a tertiary care center in Bangladesh. Most patients were young males with sharp injuries and over half underwent surgery more than 12 weeks after injury using palmaris longus or FDS tendon grafts. At 24 weeks, nail-palm distance and total active motion improved significantly (p<0.001), with 80% of patients achieving excellent or good functional outcomes. Thus, single-stage tendon reconstruction provides effective functional recovery with acceptable complication rates in chronic Zone II flexor tendon injuries.
Keywords
Functional outcome, tendon reconstruction, flexor tendon injury, Zone II, hand
Citation
Ahmed et al. Bioinformation 22(8): 5281-5286 (2026)
Edited by
Ritik Kashwani
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
