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Updated: Apr 27, 2026

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

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Published on: December 10, 2021

Evidence-based flexor tendon repair.

Isabella M Mehling¹, Annika Arsalan-Werner¹, Michael Sauerbier¹

¹Department of Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany.

Clinics in Plastic Surgery

|July 6, 2014

Summary

This summary is machine-generated.

Achieving normal finger or thumb range of motion after flexor tendon repair requires at least four strands for core suture repair. Additional epitendinous sutures and diligent post-operative therapy are crucial for successful outcomes.

Keywords:

Flexor tendon repair Functional tendon restoration Post-operative care Tendon reconstruction

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Area of Science:

Orthopedic Surgery
Hand Surgery
Musculoskeletal Rehabilitation

Background:

Flexor tendon injuries significantly impair hand function, necessitating surgical intervention.
Restoring normal range of motion is the primary goal of flexor tendon repair.
Surgical techniques vary based on the injury's location and severity.

Purpose of the Study:

To outline optimal surgical and post-operative strategies for flexor tendon repair.
To emphasize the importance of multistrand core suture techniques.
To highlight the role of epitendinous sutures and rehabilitation in achieving functional recovery.

Main Methods:

Review of current literature on flexor tendon repair techniques.
Analysis of suture methods, including multistrand core repairs and epitendinous sutures.
Emphasis on the critical role of post-operative therapy protocols.

Main Results:

Multistrand core suture repairs are recommended for primary flexor tendon repair.
A minimum of four suture strands are necessary to initiate an active range of motion protocol.
Epitendinous sutures can enhance the biomechanical strength of the tendon repair.

Conclusions:

Successful flexor tendon repair hinges on appropriate surgical technique and comprehensive post-operative care.
Adherence to a structured rehabilitation program is essential for optimal functional outcomes.
The number of suture strands and the use of supplementary sutures directly impact repair strength and motion recovery.