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[Suture techniques for flexor tendons of the hand]
M F Langer1, S Oeckenpöhler2, C Kösters2
1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.
Background:
The success of the flexor tendon suture depends on many factors. An important factor is that the tendon suture technique that must be carried out for flexor tendons is considerably more complex and more precise than for all other tendons of the body.
Objectives:
To discover important technical points that need to be considered during flexor tendon suturing.
Method:
We compiled the most important technical details in flexor tendon suturing from the literature and from personal experience.
Results:
Details on core suture, peripheral suture, the tensile strength, gapping, the circulation of sutured tendons, gliding resistance and excisions are discussed.
Conclusions:
Flexor tendon suturing must be performed taking great care to conserve tissue.
