Uncommon methods of flexor tendon and tendon-bone repairs and grafting

The conventional practices used in flexor tendon repair have remained unchanged in many units. Because clinical cases vary considerably, some situations may merit more unusual methods. Here the author describes a few methods that have been used in flexor tendon repair. This article discusses a few methods that are clinically useful in treating some patients but are not commonly described. The newer tendon-bone junction methods exemplified here would likely replace the pull-out suture. Late direct repair and lengthening plasty require the accumulation of clinical experience. Allograft tendon reconstruction has shown successful midterm results, but long-term follow-up is certainly necessary.