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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Flexor tendon repairs: techniques, eponyms, and evidence.

Aakash Chauhan1, Bradley A Palmer1, Gregory A Merrell1

  • 1Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA; Indiana Hand to Shoulder Center, Indianapolis, IN.

The Journal of Hand Surgery
|August 27, 2014
PubMed
Summary

Choosing the best flexor tendon repair technique remains challenging due to numerous options and limited consensus. This review details common flexor tendon repairs, aiding surgeons in selecting optimal methods.

Keywords:
Flexor tendon injuriesload to failurerepairrepair site gappingsurgical techniquezone II

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Hand Surgery

Background:

  • Surgical techniques and suture technologies offer diverse options for flexor tendon repair.
  • Numerous biomechanical studies exist, yet no definitive "gold standard" surgical technique has been established.
  • Surgeons often select flexor tendon repairs based on training familiarity, popularity, and perceived technical difficulty.

Purpose of the Study:

  • To review and compare common flexor tendon repair techniques.
  • To provide clarity on the nomenclature, technical aspects, and supporting data for various flexor tendon repairs.
  • To assist surgeons in navigating the complex landscape of flexor tendon repair options.

Main Methods:

  • Literature review of biomechanical studies on flexor tendon repairs.
  • Analysis of suture properties, technical modifications, and repair configurations.
  • Discussion of advantages, disadvantages, and technical aspects of common repair methods.

Main Results:

  • The abundance of research makes identifying an optimal repair algorithm difficult.
  • Common flexor tendon repairs are often chosen based on surgeon preference and experience rather than a universally agreed-upon best method.
  • Detailed discussion of specific repair techniques, their historical nomenclature, and supporting evidence is presented.

Conclusions:

  • A clear consensus on the optimal flexor tendon repair algorithm is lacking.
  • Understanding the nuances of different repair techniques is crucial for informed surgical decision-making.
  • This review aims to consolidate information on flexor tendon repairs to aid clinical practice.