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Updated: Apr 26, 2026
Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
[Acute flexor tendon surgery]
Christine Stephan1, Ali Saalabian, Jörg van Schoonhoven
1Klinik für Handchirurgie Herz- und Gefässklinik, Salzburger Leite 1, Bad Neustadt/Saale. c.stephan@handchirurgie.de
Objective:
Flexor tendon repair by direct suture, providing tendon function and mechanical properties and allowing postoperative active extension and flexion.
Indications:
Flexor tendon laceration in all zones, when primary healing and a good functional outcome can be expected.
Contraindications:
Florid and chronic infection. Lack of skill, instruments, or manpower. Tension-free suture is not feasible. Severe soft-tissue problems. Mantero suture in case of coexistent artery injury.
Surgical Technique:
Hand surgical incisions and approach to the tendon. Opening of the tendon sheath in the region of oblique pulley. A four-strand core suture consisting of two locked two-strand sutures and a circumferential epitendon cross-stitch suture are performed. Lacerations in zone I with a tendon stump shorter than 1 cm require a Mantero suture and avulsions require a pull-out suture technique.
Postoperative Management:
Active flexion and active extension in a dorsal wrist cast.
Results:
The clinical outcome studies after repair of zone II flexor tendon injuries using a multiple-strand suture technique describe 69-96% excellent and good results.
