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Related Experiment Video

Updated: Jul 10, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

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Secondary flexor tendon reconstruction, a review.

Aaron M Freilich1, A Bobby Chhabra

  • 1University of Virginia, Department of Orthopaedics, Charlottesville, VA 22903, USA.

The Journal of Hand Surgery
|November 13, 2007
PubMed
Summary

Primary repair for flexor tendon injuries, even in zone II, is increasingly common. However, secondary reconstruction, in one or two stages, remains a vital treatment option for these challenging flexor tendon lacerations.

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Traumatology

Background:

  • Flexor tendon lacerations, particularly in Zone II, present complex surgical challenges.
  • Advancements in surgical techniques have increased the feasibility of primary tendon repair.
  • Despite progress, secondary reconstruction remains a critical option for managing these injuries.

Purpose of the Study:

  • To review current indications and methods for secondary flexor tendon reconstruction.
  • To discuss one-stage and two-stage reconstruction techniques.
  • To explore future directions in tendon reconstruction.

Main Methods:

  • Review of current literature on flexor tendon laceration repair.
  • Analysis of indications for primary versus secondary reconstruction.

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  • Discussion of one-stage and two-stage reconstruction protocols.

    • Main Results:

    • Primary repair of flexor tendon injuries, including Zone II, is becoming more prevalent.
    • Secondary reconstruction (one or two stages) continues to be an important treatment modality.
    • The review covers delayed treatment and various reconstruction approaches.

    Conclusions:

    • Both primary repair and secondary reconstruction have roles in managing flexor tendon injuries.
    • Understanding current indications and techniques is crucial for optimal patient outcomes.
    • Future innovations may further refine tendon reconstruction strategies.