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Related Experiment Videos

Flexor Tendon Injuries: II. Operative Technique.

Strickland1

  • 1Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis; Department of Hand Surgery, St. Vincent Hospital, Indianapolis; Indiana Hand Center, Indianapolis.

The Journal of the American Academy of Orthopaedic Surgeons
|January 1, 1995
PubMed
Summary

This study details a simplified four-strand flexor tendon repair technique for zones I and II, enhancing surgical outcomes. The method allows early motion, reducing complications like adhesions and contractures.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Research

Background:

  • Flexor tendon repair in zones I and II is surgically complex, demanding precise anatomical knowledge.
  • Maintaining tendon sheath integrity and pulley system function is crucial for successful outcomes.
  • Early post-repair motion is vital but challenging due to repair strength limitations.

Purpose of the Study:

  • To present an effective method for flexor tendon retrieval.
  • To describe a simplified, strong four-strand tendon repair technique with a running-lock suture.
  • To facilitate early post-repair motion and improve functional recovery.

Main Methods:

  • A novel technique for tendon retrieval is described.
  • A four-strand tendon repair is implemented using a supplementary peripheral running-lock suture.

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  • The repair is designed to withstand early passive and active motion stresses.

    • Main Results:

    • The described technique provides a strong and reliable flexor tendon repair.
    • The repair method supports early post-repair rehabilitation protocols.
    • Potential complications include tendon rupture, joint contractures, and adhesions.

    Conclusions:

    • The simplified four-strand repair offers a robust solution for flexor tendon injuries in zones I and II.
    • This technique aims to minimize complications and optimize functional recovery through early mobilization.
    • Preserving or repairing the tendon sheath is emphasized for reestablishing smooth gliding surfaces.